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1225768559
NICHOLAS RAYMOND PEREZ
CORONA, CA
NPI
1225768559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW94971)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
NICHOLAS RAYMOND PEREZ LCSW
800 MAGNOLIA AVE STE 110
CORONA, CA 92879-3123
Phone number: 951-382-2351
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Mailing Address
NICHOLAS RAYMOND PEREZ LCSW
32295 MISSION TRAIL R8 #258
LAKE ELSINORE, CA 92530
Phone number: 951-382-2351
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