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1184132417
FALLON PEACOCK
BRYANT, AR
NPI
1184132417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-22
Last Update Date
2018-08-22
Business Address
FALLON PEACOCK
200 NW 4TH ST
BRYANT, AR 72022-3424
Phone number: 501-847-5660
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Mailing Address
FALLON PEACOCK
317 DOGWOOD PLACE DR
BRYANT, AR 72022-2839
Phone number: 501-722-2044
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