Individual
MIRANDA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 CLIFTY ST STE 2, SOMERSET, KY 42503-1710
(606) 678-0026
(606) 678-0047
Mailing address
600 CLIFTY ST STE 2, SOMERSET, KY 42503-1710
(606) 678-0026
(606) 678-0047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257839
KY
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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