Individual
MRS. JEAN LUCILLE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3216 MERRILL AVE, ROYAL OAK, MI 48073-6813
(248) 854-6257
Mailing address
3216 MERRILL AVE, ROYAL OAK, MI 48073-6813
(248) 854-6257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085207
MI
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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