Individual
MRS. MEGAN ALLEN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, MSW, LCSW
Contact information
Practice address
6188 SAW MILL DR, NOBLESVILLE, IN 46062-6559
(312) 909-1822
Mailing address
6188 SAW MILL DR, NOBLESVILLE, IN 46062-6559
(312) 909-1822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007043A
IN
1041C0700X
Clinical Social Worker
99047651A
IN
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
01/12/2010
Last updated
08/28/2014
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