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Individual

DAVID ROMAN PEPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1924 W MEYER LN APT 3210, OAK CREEK, WI 53154-4358
(262) 960-1580
Mailing address
1924 W MEYER LN APT 3210, OAK CREEK, WI 53154-4358
(262) 960-1580

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
WI
101YP2500X
Professional Counselor
Primary
7587-125
WI
171M00000X
Case Manager/Care Coordinator
2769-226
WI

Other

Enumeration date
05/18/2018
Last updated
11/18/2024
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