Individual
MISS AUDREY ELIZABETH PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-3901
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-3901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S 0800886
OH
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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