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1205222510
SAMUEL PARK
RICHMOND, VA
NPI
1205222510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005121)
Enumeration Date
2015-04-13
Last Update Date
2019-07-25
Business Address
Dr. SAMUEL PARK PhD
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
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Mailing Address
Dr. SAMUEL PARK PhD
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
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