Individual
MS. CAROLINE PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 EXECUTIVE PARK DR NE FL 3, ATLANTA, GA 30329-2206
(917) 770-3885
Mailing address
TUFTS HOUSE 2004 RIDGEWOOD DRIVE SUITE 309, ATLANTA, GA 30322-0001
(917) 770-3885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
73077188
NY
1041C0700X
Clinical Social Worker
Primary
CSW005306
GA
Other
Enumeration date
10/26/2006
Last updated
01/02/2024
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