Daniel J Peck MSW

NPI 1639301062 - Social Worker - 104100000X

NPI Details
NPI 1639301062
Gender Male
Enumeration Date 08/19/2009
Last Updated 08/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
403 E MADISON ST
SOUTH BEND IN, 46617-2322, US
Phone (574) 283-1107
Fax (574) 283-1256
Business Location
403 E MADISON ST
SOUTH BEND IN, 46617-2322, US
Phone (574) 283-1107
Fax (574) 283-1256
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Daniel J Peck MSW NPI is 1639301062, taxonomy code is 104100000X Daniel J Peck MSW physically located at 403 E Madison St, South Bend IN, 46617-2322. NPI Number Daniel J Peck MSW has the Individual type.

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1639301062 NPI number is provided on an as is basis without warranty of any kind. 1639301062 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel J Peck MSW are for informational purposes only.