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Individual

SANDRA PACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
363 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-3302
(270) 268-2228
Mailing address
1115 WOODDALE RD, BRANDENBURG, KY 40108-1139
(502) 434-8376
(502) 473-1070

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1111111
MENTAL HEALTH
KY
Enumeration date
08/17/2017
Last updated
09/29/2020
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