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Individual

ANNA R PEREIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LCDC

Contact information

Practice address
1906 PEABODY AVE, DALLAS, TX 75215-2821
(214) 421-7848
Mailing address
351 W JEFFERSON BLVD STE 300, DALLAS, TX 75208-7860
(214) 521-5191

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12174
TX
104100000X
Social Worker
Primary
57450
TX

Other

Enumeration date
11/21/2012
Last updated
03/10/2015
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