Individual
MARLEN SANTANA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4928 EDMONDSON PIKE, SUITE 205, NASHVILLE, TN 37211-4787
(615) 222-1400
(615) 222-1410
Mailing address
PO BOX 24730, NASHVILLE, TN 37202-4730
(615) 386-2300
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513193
—
TN
01
—
600577011
MAGELLAN
—
Enumeration date
04/16/2009
Last updated
12/13/2010
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