Individual
ELEANOR GARRETT PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8613 LEE HWY # 200N, FAIRFAX, VA 22031-2171
(703) 208-3155
(703) 280-9596
Mailing address
625 E MONROE AVE APT 402, ALEXANDRIA, VA 22301-3029
(703) 615-7574
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
0139000425
VA
170300000X
Genetic Counselor (M.S.)
PGC130
MA
Other
Enumeration date
08/28/2018
Last updated
04/09/2024
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