Individual
MISS BETH ALISON PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10159 EAST 11TH STREET, TULSA, OK 74128
(918) 688-5008
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6299
OK
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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