REGINA JOANNA PEACOCK

RIALTO, CA
NPI1053916965
Former NameREGINA J PEACOCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  98303)
Enumeration Date2020-12-01
Last Update Date2021-08-05
Business Address
Miss REGINA JOANNA PEACOCK LCSW
5822 OLIVE AVE
RIALTO, CA 92377-3964
Phone number: 909-831-0446
Mailing Address
Miss REGINA JOANNA PEACOCK LCSW
16195 SISKIYOU RD STE 120B
APPLE VALLEY, CA 92307-1346
Phone number: 760-646-9766