Organization
TIERRA PACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA LEE-ANN PACE LGSW (COUNSELOR I/II)
(443) 485-7597
Entity
Organization
Contact information
Practice address
3306 STONE GATE BLVD, ELKTON, MD 21921-4152
(443) 485-7597
Mailing address
3306 STONE GATE BLVD, ELKTON, MD 21921
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
21849
MD
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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