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1104240688
CLARISSA AMOR PERALTA
DETROIT, MI
NPI
1104240688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 61113)
Enumeration Date
2014-02-05
Last Update Date
2021-04-08
Business Address
CLARISSA AMOR PERALTA LCSW
1700 WATERMAN ST
DETROIT, MI 48209-2022
Phone number: 915-613-7674
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Mailing Address
CLARISSA AMOR PERALTA LCSW
1700 WATERMAN ST
DETROIT, MI 48209-2022
Phone number: 915-613-7674
Copy
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