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Individual
JUAN DAMIAN PEREZ
Active
Individual
JUAN DAMIAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15009
SC
1041C0700X
Clinical Social Worker
Primary
13455
CT
Other
Enumeration date
07/02/2021
Last updated
11/26/2024
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