Individual
MR. JEFFREY MICHAEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11139 FOST LANE, HAMMOND, LA 70403
(225) 294-0401
Mailing address
347 WILLOW BND, YOUNGSVILLE, LA 70592-5136
(337) 856-0600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1787
LA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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