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Individual
REBECCA LEIGH PEACOCK
Active
Individual
REBECCA LEIGH PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
011553
CT
1041C0700X
Clinical Social Worker
091164
NY
1041C0700X
Clinical Social Worker
Primary
C015159
NC
Other
Enumeration date
02/24/2017
Last updated
06/06/2023
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