Individual
M CHARLENE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
3205 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2627
(785) 843-5483
Mailing address
3205 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2627
(785) 843-5483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
6687
KS
Other
Enumeration date
07/30/2007
Last updated
06/12/2009
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