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Individual

TIARA F PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2624 9TH AVE S, FARGO, ND 58103
(701) 298-4500
(701) 298-4400
Mailing address
952 9TH AVE SE, VALLEY CITY, ND 58072-4316
(516) 582-0457

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1108-2-1-21-543
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1474182
ND
Enumeration date
03/27/2018
Last updated
01/11/2024
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