Individual
MS. BRENDA L PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
417 W 13TH ST, PUEBLO, CO 81003-2703
(719) 544-0877
(719) 544-2033
Mailing address
668 S BAYFIELD AVE, PUEBLO WEST, CO 81007-2798
(719) 544-0877
(719) 544-2033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992752
CO
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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