Individual
CAROLYN MARIE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2741 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-2653
(505) 803-0013
Mailing address
4714 CREST AVE SE, ALBUQUERQUE, NM 87108-4507
(505) 803-0013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11061
NM
Other
Enumeration date
09/14/2020
Last updated
02/17/2025
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