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Individual

MR. LEROY L PECHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
10850 W PARK PL, SUITE 100, MILWAUKEE, WI 53224-3606
(262) 542-3255
(414) 359-1021
Mailing address
1641 W RIVER OAKS LN, MEQUON, WI 53092-2638
(262) 243-5679

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
696-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39274500
WI
Enumeration date
08/21/2006
Last updated
07/09/2007
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