Regina Joanna Peacock, LCSW Valid NPI
Individual provider · Clinical Social Worker · Rialto, CA
- NPI
- 1053916965
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 98303 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-12-01
- Last updated
- 2021-08-05
Practice location
5822 Olive Ave
Rialto, CA 92377-3964
(909) 831-0446