Individual
CYGRID KRISTIE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
245 W JOHNSON RD, SUITE 9, LA PORTE, IN 46350-2026
(219) 809-0333
(219) 809-0334
Mailing address
245 W JOHNSON RD, SUITE 9, LA PORTE, IN 46350-2026
(219) 809-0333
(219) 809-0334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005956A
IN
Other
Enumeration date
11/08/2015
Last updated
11/08/2015
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