Individual
MS. DANIELLE PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 N MARKET ST, SUITE 101, MOUNT CARMEL, IL 62863-1945
(618) 263-4970
Mailing address
1001 N MARKET ST, SUITE 101, MOUNT CARMEL, IL 62863-1945
(618) 263-4970
(618) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149016181
IL
Other
Enumeration date
10/03/2007
Last updated
09/19/2013
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