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1053480129
SCOTT DAVID PARK
WORCESTER, MA
NPI
1053480129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 110803)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Mr. SCOTT DAVID PARK LICSW
52 CEDAR ST
WORCESTER, MA 01609
Phone number: 508-752-5191
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Mailing Address
Mr. SCOTT DAVID PARK LICSW
52 CEDAR ST
WORCESTER, MA 01609
Phone number: 508-752-5191
Copy
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