Individual
DANIELLE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Mailing address
16208 THROCKLEY AVE, CLEVELAND, OH 44128-1374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2105816
OH
1041C0700X
Clinical Social Worker
Primary
I.2506218
OH
Other
Enumeration date
06/16/2022
Last updated
01/16/2025
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