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1154538932
BRODERICK PARKER
LITTLE ROCK, AR
NPI
1154538932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2007-05-17
Last Update Date
2010-09-13
Business Address
MR. BRODERICK PARKER MHPP
20400 COL. GLENN RD.
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
MR. BRODERICK PARKER MHPP
20400 COL.GLENN RD.
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Copy
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