ROBIN ROSS PEACOCK

OGDEN, UT
NPI1457570277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  138819-6006)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Mr. ROBIN ROSS PEACOCK LSAC
2127 LINCOLN AVE
OGDEN, UT 84401-1313
Phone number: 801-625-3686
Mailing Address
Mr. ROBIN ROSS PEACOCK LSAC
5961 W 5050 S
HOOPER, UT 84315-9720
Phone number: 801-985-9891
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