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Individual

DEBORAH A PERON

Active
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Individual

DEBORAH A PERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW,OCPSI

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1039-S07
OH
1041C0700X
Clinical Social Worker
Primary
30182
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000375920
ANTHEM
Enumeration date
02/29/2008
Last updated
02/29/2008
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