Bonnie S Peacock, BA
NPI #1780673236 in St Augustine, Florida
Provider Information
- NPI Number
- 1780673236
- Entity Type
- Individual
- Name
- Bonnie S Peacock, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BA
- Enumeration Date
- Oct 18, 2005
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 1955 US HIGHWAY 1 S
- Address 2
- SUITE C-2
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-3708
- Phone
- (904) 209-6007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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