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Individual

KELLY PECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
285 E MAIN ST, SOMERVILLE, NJ 08876-3005
(304) 539-9798
Mailing address
9 WELLINGTON RD, LIVINGSTON, NJ 07039-4320
(304) 539-9798

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/31/2019
Last updated
12/31/2019
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