Individual
MRS. BROOKE AMY PEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSSW
Contact information
Practice address
2875 HENRY ST, PORT HURON, MI 48060-2526
(810) 966-3557
Mailing address
2875 HENRY ST, PORT HURON, MI 48060-2526
(810) 966-3557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802078511
MI
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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