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1164779138
TINA PECK
BRIGHAM CITY, UT
NPI
1164779138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9177224-3501)
Enumeration Date
2012-08-09
Last Update Date
2019-08-15
Business Address
TINA PECK LCSW
34 W 400 N STE 1
BRIGHAM CITY, UT 84302
Phone number: 435-494-1557
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Mailing Address
TINA PECK LCSW
PO BOX 866
BRIGHAM CITY, UT 84302-0866
Phone number: 435-494-1557
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