Individual
KALEY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 823-2513
Mailing address
1621 SASSAFRAS STREET, ERIE, PA 16502
(814) 882-1039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137896
PA
Other
Enumeration date
08/24/2021
Last updated
09/28/2021
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