Individual
MR. JUDY SUSAN PECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5127 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1533
(314) 487-5127
(314) 487-5127
Mailing address
6928 SHADY LAWN DR, SAINT LOUIS, MO 63129-5316
(314) 846-0553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002790
MO
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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