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Contact Information

LACY CANTON, LCSW 117157
9693 WAYFARER DR
LA MESA, CA91942-4042
 Phone: 415-678-9372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for LACY CANTON · (Female)

NPI # 1184141038
Status Active
Credentials LCSW 117157
Entity Individual
Enumeration date 08/22/2017
Last updated 05/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 117157
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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