Individual
MARIA LOURDES PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(602) 842-7042
Mailing address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(928) 272-7224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21328
AZ
Other
Enumeration date
05/03/2021
Last updated
04/01/2025
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