Individual
LALA-MARIE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1934 OLD GALLOWS RD STE 210, VIENNA, VA 22182-4043
(571) 748-5913
Mailing address
1934 OLD GALLOWS RD STE 210, VIENNA, VA 22182-4043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0903003282
VA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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