Individual
DARYLL THERESA PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
(858) 569-2129
(858) 279-2763
Mailing address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
(858) 569-2129
(858) 279-2763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS 23371
CA
Other
Enumeration date
04/29/2010
Last updated
06/16/2011
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