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1003147893
BRAD CLINTON PARKS
PITTSBURG, KS
NPI
1003147893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 82)
Enumeration Date
2010-01-19
Last Update Date
2013-07-31
Business Address
Mr. BRAD CLINTON PARKS
824 E 4TH ST
PITTSBURG, KS 66762-4234
Phone number: 620-704-5277
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Mailing Address
Mr. BRAD CLINTON PARKS
1102 SOUTH ROUSE
PITTSBURG, KS 66762
Phone number: 620-232-2593
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