Individual
JUSTINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N RAINBOW BLVD STE 204, LAS VEGAS, NV 89107-1189
(702) 885-8962
Mailing address
4745 VIA RENALDO, LAS VEGAS, NV 89103-2605
(702) 885-8962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-1408
NV
171W00000X
Contractor
—
—
Other
Enumeration date
07/06/2016
Last updated
02/06/2020
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