BRIAN PECK

MERIDIAN, ID
NPI1447537436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-31616)
Enumeration Date2011-11-04
Last Update Date2012-02-22
Business Address
-- BRIAN PECK LMSW
2076 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-860-6675
Mailing Address
-- BRIAN PECK LMSW
2076 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-955-7333
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