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Individual

AMY AIXA PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
6400 LAUREL CANYON BLVD STE 500, NORTH HOLLYWOOD, CA 91606-1562
(818) 901-4879
(818) 997-1370
Mailing address
6400 LAUREL CANYON BLVD STE 500, NORTH HOLLYWOOD, CA 91606-1562
(818) 901-4879
(818) 997-1370

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117765
CA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
06/14/2023
Last updated
08/31/2023
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