Individual
DOUGLAS PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Contact information
Practice address
233 GROVELAND AVE, MINNEAPOLIS, MN 55403-3504
(612) 834-0500
Mailing address
233 GROVELAND AVE, MINNEAPOLIS, MN 55403-3504
(612) 834-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12382
MN
Other
Enumeration date
11/14/2006
Last updated
08/13/2014
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