Individual
DR. MISCHA COHEN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW, PHD, LCSW
Contact information
Practice address
301 E BETHANY HOME RD, PHOENIX, AZ 85012-1263
(602) 570-2373
Mailing address
2030 N DAYTON ST, PHOENIX, AZ 85006-2123
(602) 570-2373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12742
AZ
Other
Enumeration date
05/08/2009
Last updated
07/14/2017
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