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Individual

LINDA MAY PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
506 LAKE ST, KENAI, AK 99611-6937
(907) 283-7501
(907) 283-9006
Mailing address
506 LAKE ST, KENAI, AK 99611-6937
(907) 283-7501
(907) 283-9006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
575
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0156
AK
Enumeration date
02/21/2007
Last updated
07/08/2007
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