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Individual

SUNCERRAE PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, APSW, SAC-IT

Contact information

Practice address
6650 W STATE ST, #193, WAUWATOSA, WI 53213-2827
(414) 732-0324
Mailing address
6650 W STATE ST, #193, WAUWATOSA, WI 53213-2827

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16958
WI
104100000X
Social Worker
129567
WI

Other

Enumeration date
01/03/2017
Last updated
01/03/2017
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