Individual
CHARLES A PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604
(203) 394-6529
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
011789
CT
Other
Enumeration date
03/08/2018
Last updated
11/22/2024
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