Individual
LESLIE A PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LICSWA
Contact information
Practice address
17503 25TH AVE NE UNIT R308, MARYSVILLE, WA 98271-4853
(425) 280-6081
Mailing address
17503 25TH AVE NE UNIT R308, MARYSVILLE, WA 98271-4853
(425) 280-6081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61081107
WA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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