Individual
CLARISSA AMOR PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(915) 613-7674
Mailing address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(915) 613-7674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61113
TX
Other
Enumeration date
02/05/2014
Last updated
04/08/2021
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