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1649632613
LAQUITA PEACOCK
GREENWOOD, MS
NPI
1649632613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS CH2523)
Enumeration Date
2016-03-28
Last Update Date
2016-03-28
Business Address
-- LAQUITA PEACOCK
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
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Mailing Address
-- LAQUITA PEACOCK
PO BOX 1505
GREENWOOD, MS 38935-1505
Phone number:
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