Individual
PATRICIA M PERIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1126 S. 70TH STREET, SUITE S507, WEST ALLIS, WI 53214
(414) 727-2789
(414) 476-8695
Mailing address
329 BRECK ROAD, WALES, WI 53183
(262) 968-5414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
745-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41004400
—
WI
Enumeration date
11/01/2006
Last updated
07/08/2007
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