Individual
MS. JANET ZANE PECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
111 ORCHARD AVE, BECKLEY, WV 25801-4823
(304) 255-2121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00138871
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP00138871
SOCIAL WORK LECENSE
WV
Enumeration date
05/10/2006
Last updated
07/08/2007
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