Individual
CRYSTINA PAOLA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3676 N HARBOR LN STE 100, BOISE, ID 83703-6919
(208) 607-3503
Mailing address
6916 W BRENTWOOD DR, BOISE, ID 83709-1920
(803) 467-5300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-44010
ID
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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