Individual
JESSICA PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754-1802
(541) 383-3005
Mailing address
018 SW BOUNDARY CT, PORTLAND, OR 97239-3939
(503) 222-9661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
09/26/2022
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