JISUN PARK

MATTOON, IL
NPI1386945459
Other NameKELLY PARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-11-05
Last Update Date2010-11-05
Business Address
-- JISUN PARK B.A.
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Mailing Address
-- JISUN PARK B.A.
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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