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Individual
PERRIN ANNE ELISHA
Active
Individual
PERRIN ANNE ELISHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NM66972
NM
103TC0700X
Clinical Psychologist
PSY21535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88342
PROVIDER NUMBER PRESBYTER
NM
Enumeration date
10/05/2006
Last updated
08/29/2007
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