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1225499197
HEATHER PEACOCK
PORTLAND, OR
NPI
1225499197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
-- HEATHER PEACOCK
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
-- HEATHER PEACOCK
12328 NW BARNES RD APT. 442
PORTLAND, OR 97229-6065
Phone number: 209-743-2898
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