Individual
PATRICIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6149 S KENNETH AVE, CHICAGO, IL 60629-5209
(773) 258-1435
Mailing address
6149 S KENNETH AVE, CHICAGO, IL 60629-5209
(773) 258-1435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
05/13/2015
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