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Individual

DAVIDE PACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
88 S MAIN ST, GLEN CARBON, IL 62034-1415
(618) 288-8085
(618) 288-8959
Mailing address
88 S MAIN ST, GLEN CARBON, IL 62034-1415
(618) 288-8085
(618) 288-8959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4A00-IPI-032
IL
Enumeration date
07/11/2024
Last updated
07/11/2024
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