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Individual

MS. G. DENISE PACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
430 N. W. 35 ST, OKLAHOMA, OK 73118
(405) 525-9426
(405) 528-0707
Mailing address
430 NW 35TH ST, OKLAHOMA CITY, OK 73118-8602
(405) 525-9426
(405) 528-0707

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
223
OK
101YP2500X
Professional Counselor
Primary
2695
OK

Other

Enumeration date
04/23/2009
Last updated
04/23/2009
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