Individual
DIANE MARIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6200 SHINGLE CREEK PKWY STE 250, BROOKLYN CENTER, MN 55430-2107
(612) 578-3976
(763) 544-0984
Mailing address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
(612) 578-3976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11584
MN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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