Provider Information for 1700351921
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ROSELYN PEREZ LCSW
Sex: Female
NPI: 1700351921
Last Updated: 2018-10-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1700351921 | ||||||||
| Enumeration Date | 2018-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 463142 STATE ROAD 200 YULEE, FL 32097-5554 United States Phone: 904-225-8280 | Fax:904-335-5005 | ||||||||
| Primary Practice Address | 463142 STATE ROAD 200 YULEE, FL 32097-5554 United States Phone: 904-225-8280 | Fax:904-335-5005 | ||||||||
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