Individual
AMPARO MEDINA-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7610 40TH ST W STE 300, UNIVERSITY PLACE, WA 98466-3834
(253) 830-6242
Mailing address
1019 PACIFIC AVE APT 904, TACOMA, WA 98402-4492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/25/2021
Last updated
01/02/2024
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