Individual
M. ELAINE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9159 WESTDRUM CT, INDIANAPOLIS, IN 46231-3108
(317) 490-3584
Mailing address
9159 WESTDRUM CT, INDIANAPOLIS, IN 46231-3108
(317) 490-3584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34002075A
IN
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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