Brent Carman Pace, L.C.S.W.
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1285605204
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1285605204
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brent Carman Pace
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2006
- Certification date
- Dec 7, 2022
- Last updated
- Dec 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 3287263501 | UT | Yes |
Practice location
1164 E 1st AveSalt Lake City, UT 84103-4108
Phone 801-599-6279
Mailing address
1164 E 1st AveSalt Lake City, UT 84103-4108
Phone 801-599-6279
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