Individual
JANE MARIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(953) 548-8760
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(953) 548-8760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11267
MN
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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