Individual
ANISHA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 COLORADO AVE, PUEBLO, CO 81004-2011
(719) 320-1256
Mailing address
27 THAMES DR, PUEBLO, CO 81005-3512
(719) 320-1256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928515
CO
Other
Enumeration date
09/13/2023
Last updated
04/28/2025
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