Individual
DEBORAH MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 NERI AVE, VANDALIA, OH 45377-1133
(937) 829-4389
Mailing address
1015 NERI AVE, VANDALIA, OH 45377-1133
(937) 829-4389
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
TAXONOMY
OH
Enumeration date
07/02/2014
Last updated
07/02/2014
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