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Provider Information for 1699983213


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Mrs. SANDRA SPARROW PERRY LMFT


Sex: Female

NPI: 1699983213
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1699983213
Enumeration Date2007-05-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 731 WEST ST
NEW BERN, NC 28560-4851
United States

Phone: 252-637-5687 | Fax:252-637-9526
 
Primary Practice Address 2557 CEDAR DELL LN
KINSTON, NC 28504-9113
United States

Phone: 252-527-4409 | Fax:252-527-4422
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist NC1174