Individual
MRS. JESSICA LORRAINE PERRY
Active
Individual
MRS. JESSICA LORRAINE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RN
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09926701
CO
1041C0700X
Clinical Social Worker
17477
MD
163WG0000X
General Practice Registered Nurse
1643548
CO
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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