Individual
BIANCA PEREZ-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2080 N STATE HIGHWAY 360 STE 350, GRAND PRAIRIE, TX 75050-1451
(682) 888-1290
(940) 312-7805
Mailing address
2080 N STATE HIGHWAY 360 STE 350, GRAND PRAIRIE, TX 75050-1451
(682) 888-1290
(940) 312-7805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64673
TX
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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