Individual
JAMIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 NEW HAVEN AVE, DERBY, CT 06418-2197
(475) 439-9639
Mailing address
18 FARMWOOD DR, PROSPECT, CT 06712-1449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011212
CT
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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