Individual
GINA LEE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
825 DELAWARE AVE # 205, LONGMONT, CO 80501-6169
(970) 305-0948
Mailing address
1600 SPECHT POINT RD STE 105, FORT COLLINS, CO 80525-4311
(970) 692-7450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CO
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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