KENNETH PARKS

PROVIDENCE, RI
NPI1215054440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW02286)
Enumeration Date2007-03-23
Last Update Date2013-02-13
Business Address
-- KENNETH PARKS LICSW
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-274-2500
Mailing Address
-- KENNETH PARKS LICSW
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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