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Individual

JULIA PERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., LMSW

Contact information

Practice address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
Mailing address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801093695
MI
163W00000X
Registered Nurse
Primary
4704164781
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704164781
STATE OF MICHIGAN
MI
01
6801093695
STATE OF MICHIGAN
MI
Enumeration date
04/30/2015
Last updated
04/30/2015
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