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Individual

RYAN PEACHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
2600 OAKLAND AVE, ELKHART, IN 46517-1597
(574) 533-1234
(574) 537-2265
Mailing address
PO BOX 809, GOSHEN, IN 46527-0809
(574) 533-1234
(574) 537-2652

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33009154A
IN

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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