Gina Vincenza Peacock, LCSW
NPI #1164714606 in Hudson Falls, New York
Provider Information
- NPI Number
- 1164714606
- Entity Type
- Individual
- Name
- Gina Vincenza Peacock, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 3, 2011
- Last Updated
- Mar 26, 2015
Practice Location
- Address
- 3043 STATE ROUTE 4
- City
- Hudson Falls
- State
- New York
- ZIP Code
- 12839-9632
- Phone
- (518) 747-2284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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