Individual
JULIE EILEEN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, MSW
Contact information
Practice address
5319 E PEMBROOK ST, WICHITA, KS 67220-2626
(316) 409-2822
Mailing address
5319 E PEMBROOK ST, WICHITA, KS 67220-2626
(316) 409-2822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4937
KS
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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