JACQUELINE DIANE PARKS

SOUTHGATE, MI
NPI1194069500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301015305)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
JACQUELINE DIANE PARKS MA, TLLP
19291 NORTHLINE RD
SOUTHGATE, MI 48195-2220
Phone number: 734-785-7700
Mailing Address
JACQUELINE DIANE PARKS MA, TLLP
2485 W EUCLID ST
DETROIT, MI 48206-2441
Phone number: 313-728-5519
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