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Individual

MS. KATIE MARIE PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
300 W BROADWAY STE 29, COUNCIL BLUFFS, IA 51503-9030
(712) 323-1660
(712) 323-1661
Mailing address
300 W BROADWAY STE 29, COUNCIL BLUFFS, IA 51503-9030
(712) 323-1660
(712) 323-1661

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
072992
IA

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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