Most Relevant Information
Provider Data
| NPI Number: | 1003448036 |
| Provider Name: | KELLY ALLIN PEREZ MSW, PPSC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 93421 |
Most Important Dates
| Enumeration Date: | 02/07/2020 |
| Last Updated: | 06/16/2023 |
Provider Practice Location
1522 E 102ND ST
LOS ANGELES
CA
900023338
Practice Location Phone/Fax
| Phone: | 3235238600 |
| Fax: |
Provider Mailing Location
1522 E 102ND ST
LOS ANGELES
CA
900023338
Provider Mailing Phone/Fax
| Phone: | 3235238600 |
| Fax: |