Individual
ANNYA PEREZ CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 SW 127TH CT, MIAMI, FL 33175-1933
(786) 556-8027
Mailing address
2311 SW 127TH CT, MIAMI, FL 33175-1933
(786) 556-8027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CCM100486-AC
FL
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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