Individual
MARIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 S ORCHARD ST STE 1, BOISE, ID 83705-3799
(208) 794-5161
Mailing address
2200 S ORCHARD ST STE 1, BOISE, ID 83705-3799
(208) 794-5161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
36071
ID
104100000X
Social Worker
51148
TX
1041C0700X
Clinical Social Worker
Primary
LCSW-40625
ID
Other
Enumeration date
09/30/2016
Last updated
01/17/2022
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