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1033612056
CARRIE PARKER
LAWRENCEVILLE, IL
NPI
1033612056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
CARRIE PARKER
1501 OLIVE ST
LAWRENCEVILLE, IL 62439-2269
Phone number: 618-943-3451
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Mailing Address
CARRIE PARKER
PO BOX M
OLNEY, IL 62450-0913
Phone number:
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