Individual
BRIAN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 860-6675
(208) 955-7330
Mailing address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7333
(208) 955-7330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31616
ID
Other
Enumeration date
11/04/2011
Last updated
02/22/2012
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