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Individual

MR. EDWARD LOUIS PACETTI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4203 WOODCOCK DR, SUITE 265, SAN ANTONIO, TX 78228-1320
(210) 683-3810
(210) 695-7702
Mailing address
214 RENNER DR, SAN ANTONIO, TX 78201-2727
(210) 683-3810

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23763
TX
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149062502
TX
Enumeration date
07/10/2006
Last updated
05/09/2024
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