Individual
NATALIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2408 W 7000 S, WEST JORDAN, UT 84084-2142
(801) 432-7986
(801) 432-7663
Mailing address
2408 W 7000 S, WEST JORDAN, UT 84084-2142
(801) 432-7986
(801) 432-7663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7734754-3502
UT
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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