LAQUITA PEACOCK

GREENWOOD, MS
NPI1649632613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  CH2523)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- LAQUITA PEACOCK
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
Mailing Address
-- LAQUITA PEACOCK
PO BOX 1505
GREENWOOD, MS 38935-1505
Phone number: