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Individual

MICHAEL BAHR PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5842 OLD MAIN ST STE 234, NORTH BRANCH, MN 55056-6687
(651) 401-3074
Mailing address
2832 ASPEN LAKE DR NE, BLAINE, MN 55449-3100
(612) 423-6200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/28/2019
Last updated
10/28/2019
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