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Individual

MISS KELLY PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
84-14 QUEENS BLVD, ELMHURST, NY 11373
(718) 899-9810
Mailing address
81-14 QUEENS BLVD, ELMHURST, NY 11373

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001697
NY
106H00000X
Marriage & Family Therapist

Other

Enumeration date
09/22/2016
Last updated
10/26/2020
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