Individual
MISS JESSICA PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
666 GODWIN AVE, SUITE 300 AND 330, MIDLAND PARK, NJ 07432
(201) 252-7119
Mailing address
65 MONHEGAN AVE, OAKLAND, NJ 07436-4018
(201) 669-6301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05769900
NJ
Other
Enumeration date
06/05/2018
Last updated
06/27/2024
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