Individual
KENNETH DEWAYNE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 N LIBERTY ST, JACKSON, TN 38301-6200
(731) 736-4400
Mailing address
PO BOX 746725, ATLANTA, GA 30374-6725
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8145
TN
Other
Enumeration date
10/01/2021
Last updated
09/09/2025
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