Tammy Ellen Peacock, PH.D., LCSW Valid NPI
Individual provider · Clinical Social Worker · Fort Rucker, AL
- NPI
- 1457682569
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 1012C (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-01-29
- Last updated
- 2010-01-29
Practice location
301 Andrew Avenue
Fort Rucker, AL 36362-5333
(334) 255-7010