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1164073706
MICHELLE NICOLE PERUSSE
COSTA MESA, CA
NPI
1164073706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW97586)
Enumeration Date
2019-09-25
Last Update Date
2021-03-16
Business Address
MICHELLE NICOLE PERUSSE ACSW
3540 HOWARD WAY STE 150
COSTA MESA, CA 92626-1496
Phone number: 714-547-7559
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Mailing Address
MICHELLE NICOLE PERUSSE ACSW
PO BOX 4675
COVINA, CA 91723-4675
Phone number:
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