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Individual
MR. WALLACE T. PEAKE JR.
Active
Individual
MR. WALLACE T. PEAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016244
NC
Other
Enumeration date
06/02/2021
Last updated
06/29/2021
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