Individual
SARA ELIZABETH PRATT-PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 399-9212
(803) 996-1511
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 399-9212
(803) 996-1511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5552
SC
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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