Individual
LISA GALE PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GSW
Contact information
Practice address
30 GRIZZLEY LN, SUMMERSVILLE, WV 26651-9736
(304) 574-2905
(304) 469-2981
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-1518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00940486
WV
1041C0700X
Clinical Social Worker
Primary
DP00940486
WV
Other
Enumeration date
01/13/2017
Last updated
10/11/2023
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