Most Relevant Information
Provider Data
| NPI Number: | 1003546516 |
| Provider Name: | DANIELLE PECK |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S.2105816 |
Most Important Dates
| Enumeration Date: | 06/16/2022 |
| Last Updated: | 06/16/2022 |
Provider Practice Location
16208 THROCKLEY AVE
CLEVELAND
OH
441281374
Practice Location Phone/Fax
| Phone: | 2164027060 |
| Fax: |
Provider Mailing Location
16208 THROCKLEY AVE
CLEVELAND
OH
441281374
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |