Most Relevant Information
Provider Data
| NPI Number: | 1003211400 |
| Provider Name: | LACY OSBORNE LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 20219 |
Most Important Dates
| Enumeration Date: | 10/28/2014 |
| Last Updated: | 02/09/2023 |
Provider Practice Location
100 WARREN ST # 345
MANKATO
MN
560013762
Practice Location Phone/Fax
| Phone: | 5072274858 |
| Fax: | 5075192271 |
Provider Mailing Location
100 WARREN ST # 345
MANKATO
MN
560013762
Provider Mailing Phone/Fax
| Phone: | 5072274858 |
| Fax: | 5075192271 |