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1093174047
MARY M PARKS
CORSICANA, TX
NPI
1093174047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11538)
Enumeration Date
2016-02-18
Last Update Date
2016-02-18
Business Address
-- MARY M PARKS LCDC
109 W MALL DR
CORSICANA, TX 75110-3102
Phone number: 903-872-6727
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Mailing Address
-- MARY M PARKS LCDC
109 W MALL DR
CORSICANA, TX 75110-3102
Phone number: 903-872-6727
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