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Individual

PATRICK R PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
7050 LOCKSLIE WAY, SAVAGE, MN 55378-2243
(952) 288-8505
Mailing address
7050 LOCKSLIE WAY, SAVAGE, MN 55378-2243
(952) 288-8505

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00242
MN
101YM0800X
Mental Health Counselor
E.0501253
OH

Other

Enumeration date
10/28/2011
Last updated
10/28/2011
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