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Contact Information

KIM R PEEK, LCSW
4787 OLD US ROUTE 50
AVISTON, IL62216
 Phone: 618-345-9536
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIM R PEEK · (Female)

NPI # 1235321829
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/16/2007
Last updated 03/06/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149-008684
  • IL Other 1841739620 NPI (2)
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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