Individual
NORMA JEAN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
965 S 100 W, SUITE 203, LOGAN, UT 84321-6062
(435) 752-1976
(435) 755-6707
Mailing address
714 E 400 N, BRIGHAM CITY, UT 84302-1945
(435) 752-1976
(435) 755-6707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
274552-3501
UT
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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