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Individual

MARY BERGERUD PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1001 HIGHWAY 7 RM 235, HOPKINS, MN 55305-4737
(952) 988-4177
(952) 988-6728
Mailing address
1001 HIGHWAY 7 RM 235, HOPKINS, MN 55305-4737
(952) 988-4177
(952) 988-6728

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
ACADEMY OF CERTIFIED SOCIAL WORKERS
Enumeration date
08/06/2013
Last updated
08/06/2013
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