Individual
ROBIN PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
112 E 7TH ST, CHANDLER, OK 74834-2820
(405) 258-3040
Mailing address
4306 N AYDELOTTE AVE, SHAWNEE, OK 74804-1231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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