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Individual
BILLY LEE BERRY
Active
Individual
BILLY LEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MARRIAGE FAMILY THER
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
106H00000X
Marriage & Family Therapist
33003623A
IN
Other
Enumeration date
03/26/2007
Last updated
10/28/2010
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