Individual
MARLEN SANTANA PEREZ
Active
Individual
MARLEN SANTANA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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
Update your record
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