Individual
ELIZABETH ROBIE PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPA
Contact information
Practice address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 402-1060
(704) 402-1065
Mailing address
617 BRAEWYCK LN, WINSTON SALEM, NC 27104-1357
(336) 409-6569
(704) 402-1065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3802
NC
Other
Enumeration date
06/26/2011
Last updated
06/26/2011
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