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Organization
PACE SYNERVATIONS LLC
Active
Organization
PACE SYNERVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHA W THOMAS LCSW (CEO-OWNER)
(769) 251-5751
Entity
Organization
Contact information
Practice address
350 W WOODROW WILSON AVE STE 3140, JACKSON, MS 39213-7664
(769) 251-5751
Mailing address
350 W WOODROW WILSON AVE STE 3140, JACKSON, MS 39213-7664
(769) 251-5751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
08/25/2023
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