Individual
MICHELLE R. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 N KINGSHIGHWAY ST STE 101, PERRYVILLE, MO 63775-1367
(573) 547-3116
Mailing address
12 N KINGSHIGHWAY ST STE 101, PERRYVILLE, MO 63775-1367
(573) 547-3116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004807
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306100078
—
MO
Enumeration date
06/27/2012
Last updated
11/30/2023
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