Individual
MRS. ABBY ELIZABETH PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6769 N WICKHAM RD STE B101, MELBOURNE, FL 32940-2048
(321) 321-1490
Mailing address
6769 N WICKHAM RD STE B101, MELBOURNE, FL 32940-2048
(321) 321-1490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2019038986
MO
1041C0700X
Clinical Social Worker
Primary
SW19101
FL
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/12/2015
Last updated
05/24/2024
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