Individual
EMMA PECK-BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 N HALSTED ST APT 3N, CHICAGO, IL 60657-7186
(715) 556-4523
Mailing address
2804 N HALSTED ST APT 3N, CHICAGO, IL 60657-7186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020172
IL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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