Individual
CARA K PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5226 MAIN ST, STE. 100B, SPRING HILL, TN 37174-7403
(931) 629-5490
Mailing address
448 WALKER RD, SUMMERTOWN, TN 38483-5068
(931) 629-5490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527894
—
TN
Enumeration date
04/20/2012
Last updated
07/03/2014
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