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Individual

MR. PERRY JAMES ROOT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIMHP, CMSW, PLADC

Contact information

Practice address
5421 N 103RD ST STE 100, OMAHA, NE 68134-1010
(402) 915-0599
(402) 496-9609
Mailing address
5421 N 103RD ST STE 200, OMAHA, NE 68134-1010
(402) 215-7327
(402) 496-9609

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2815
NE
104100000X
Social Worker
7342
NE
1041C0700X
Clinical Social Worker
Primary
11766
NE

Other

Enumeration date
03/06/2019
Last updated
04/27/2023
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