Individual
MR. ROGER WINFRED PACE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
5964 BROADVIEW RD, PARMA, OH 44134-3105
(216) 741-4456
Mailing address
5964 BROADVIEW RD, PARMA, OH 44134-3105
(216) 741-4456
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M 0500002
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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