Individual
MAREL PEREZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1414 NW 107TH AVE STE 109, SWEETWATER, FL 33172
(786) 762-2952
Mailing address
1414 NW 107TH AVE STE 109, SWEETWATER, FL 33172-2739
(786) 762-2952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CCMS100026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014878300
—
FL
Enumeration date
10/01/2012
Last updated
05/30/2018
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