Individual
MICHAEL PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSWAIC
Contact information
Practice address
1005 OLYMPIA AVE NE, OLYMPIA, WA 98506-4033
(360) 627-0268
Mailing address
1005 OLYMPIA AVE NE, OLYMPIA, WA 98506-4033
(360) 627-0268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61052288
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC61052288
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/22/2018
Last updated
05/23/2022
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