Individual
STEPHANIE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
180 FAIRFIELD AVENUE, BRIDGEPORT, CT 06604
(203) 394-6529
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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