Individual
MRS. SUSAN E PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5013 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7045
(910) 796-6868
Mailing address
5013 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7045
(910) 796-6868
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10054A
NC
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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