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Individual
SANDRA LEE PEREZ
Active
Individual
SANDRA LEE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS15520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS15520
MEDICAL LICENSE
CA
Enumeration date
10/13/2009
Last updated
01/12/2012
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