Individual
JOANNA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S DAVID LN, KNOXVILLE, TN 37922-3203
(865) 637-9711
Mailing address
112 S DAVID LN, KNOXVILLE, TN 37922-3203
(865) 407-0071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4788
TN
Other
Enumeration date
08/19/2015
Last updated
02/24/2021
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