Individual
EMILY MELISSA PEREZ CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9675 MAIN ST, FAIRFAX, VA 22031-3762
(571) 341-0431
Mailing address
9675 MAIN ST, FAIRFAX, VA 22031-3762
(571) 341-0431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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