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Individual
PERRY WAYNE WASHINGTON
Active
Individual
PERRY WAYNE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
OR
Other
Enumeration date
06/17/2020
Last updated
04/19/2021
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