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Individual
JUSTIN LLOYD PERRY
Active
Individual
JUSTIN LLOYD PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1529
NC
101Y00000X
Counselor
Primary
C007304
NC
101Y00000X
Counselor
P005119
NC
Other
Enumeration date
06/30/2009
Last updated
03/12/2012
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