Individual
ANDREA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20411 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6404
(866) 703-1901
Mailing address
573 FLOWERDALE ST, FERNDALE, MI 48220-1873
(734) 516-6395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104422
MI
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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