Provider Information for 1255167060
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DARIA PERRY LMFT
Other Names:Former Name:DARIA JACKSONSex: Female
NPI: 1255167060
Last Updated: 2025-02-17
Certification Date: 2025-02-17
Certification Date: 2025-02-17
Details
Name | Value | ||||||||
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NPI | 1255167060 | ||||||||
Enumeration Date | 2024-09-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 7765 LAKE WORTH RD # 1028 LAKE WORTH, FL 33467-2536 United States Phone: 786-303-0673 | Fax: | ||||||||
Primary Practice Address | 7765 LAKE WORTH RD # 1028 LAKE WORTH, FL 33467-2536 United States Phone: 786-303-0673 | Fax: | ||||||||
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