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Individual

MR. CARL PECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4485 TENCH RD, SUITE 1020, SUWANEE, GA 30024-6739
(678) 697-1141
Mailing address
3525 COUNTRY ESTATES DR, SUWANEE, GA 30024-7115

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005748
GA

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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