Individual
DANIEL ALBERTO PEREZ AMPARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
Mailing address
1335 75TH AVE NE, FRIDLEY, MN 55432-3605
(612) 432-0220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23083
MN
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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