Individual
MR. DANIEL PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
(616) 942-9548
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
(616) 942-9548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096345
MI
Other
Enumeration date
04/15/2014
Last updated
07/31/2019
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