Individual
PACE JAMES MANNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1774 WILSON AVE, SALT LAKE CITY, UT 84108-2917
(801) 557-5615
Mailing address
1774 WILSON AVE, SALT LAKE CITY, UT 84108-2917
(801) 557-5615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7719061-3501
UT
Other
Enumeration date
12/08/2011
Last updated
03/04/2013
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