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Individual
LEE LEGRAND PERRY
Active
Individual
LEE LEGRAND PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
59746953502
UT
1041C0700X
Clinical Social Worker
Primary
5974695-3501
UT
Other
Enumeration date
09/16/2006
Last updated
06/18/2019
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