Individual
MRS. MARIAH USRY PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LAKELAND DR, JACKSON, MS 39216-4829
(601) 352-7784
Mailing address
1109 S MAIN ST, NEWTON, MS 39345-4035
(601) 513-0998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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