Individual
MR. CHARLES WILLIAM PERRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1078 CR 1035, GREENVILLE, TX 75401
(903) 456-5296
Mailing address
1078 CR 1035, GREENVILLE, TX 75401
(903) 456-5296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
51047
TX
1041C0700X
Clinical Social Worker
Primary
51047
TX
Other
Enumeration date
03/24/2008
Last updated
05/24/2010
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