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Individual

MITCHELL PEGG

Active
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Individual

MITCHELL PEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC009344
PA

Other

Enumeration date
06/10/2014
Last updated
04/26/2017
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