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Individual
MRS. SHANNON A PEREZ
Active
Individual
MRS. SHANNON A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25841
NC
1041C0700X
Clinical Social Worker
Primary
C014152
NC
1041C0700X
Clinical Social Worker
P013774
NC
Other
Enumeration date
07/09/2020
Last updated
08/17/2023
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