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Individual

MR. ROBERT A. PEATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
610 COLISEUM DR, WINSTON SALEM, NC 27106-5325
(336) 722-8173
(336) 724-6491
Mailing address
610 COLISEUM DR, WINSTON SALEM, NC 27106-5325
(336) 722-8173
(336) 724-6491

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1217
NC

Other

Enumeration date
03/11/2008
Last updated
03/11/2008
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