Individual
RAVAUGHN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7508 EDGEWOOD AVE N, BROOKLYN PARK, MN 55428-1442
(763) 464-7416
Mailing address
7508 EDGEWOOD AVE N, BROOKLYN PARK, MN 55428-1442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
03/18/2024
Last updated
03/19/2024
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