Individual
PERRY BERNARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 E WOODROW WILSON AVE # A10-116, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-7875
Mailing address
1500 E WOODROW WILSON AVE # A10-116, JACKSON, MS 39216-5116
(601) 955-9119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C6888
MS
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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