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1174913784
ANDREW JACKSON PARKS
FRESNO, CA
NPI
1174913784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 108593)
Enumeration Date
2015-02-03
Last Update Date
2022-06-27
Business Address
ANDREW JACKSON PARKS
2934 N FRESNO ST
FRESNO, CA 93703-1123
Phone number: 559-549-6697
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Mailing Address
ANDREW JACKSON PARKS
2934 N FRESNO ST
FRESNO, CA 93703-1123
Phone number: 559-549-6697
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