Individual
JOSIAH PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 W MAPLE ST, RAWLINS, WY 82301-5447
(307) 324-7156
(307) 328-1651
Mailing address
721 W MAPLE ST, RAWLINS, WY 82301-5447
(307) 324-7156
(307) 328-1651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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