Individual
KARISSA PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10050 EAGLE DR, COVINGTON, GA 30014-3804
(981) 067-8607
Mailing address
5148 FOREST DR SE, COVINGTON, GA 30014-3225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011607
GA
Other
Enumeration date
08/25/2021
Last updated
04/07/2023
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