| Robert Perry, Licsw, Pllc | |
|
1225 E Front St Port Angeles WA 98362-4309 | |
| (360) 477-6104 | |
| Not Available |
| Full Name | Robert Perry, Licsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1225 E Front St, Port Angeles, Washington |
| Authorized Official Name and Position | Robert Perry (SOLE MEMBER / SOCIAL WORK PROVIDER) |
| Authorized Official Contact | 3604776104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Perry, Licsw, Pllc Po Box 3062 Port Angeles WA 98362-0339 Ph: (360) 477-6104 | Robert Perry, Licsw, Pllc 1225 E Front St Port Angeles WA 98362-4309 Ph: (360) 477-6104 |
| NPI Number | 1417325523 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417325523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60080835 (Washington) | Primary |
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