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1447537436
BRIAN PECK
MERIDIAN, ID
NPI
1447537436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-31616)
Enumeration Date
2011-11-04
Last Update Date
2012-02-22
Business Address
BRIAN PECK LMSW
2076 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-860-6675
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Mailing Address
BRIAN PECK LMSW
2076 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-955-7333
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