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1407179971
KEY H PARK
ASTORIA, NY
NPI
1407179971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 05000798)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
Miss KEY H PARK LCAT
421 27TH AVE
ASTORIA, NY 11102-4510
Phone number: 718-777-6377
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Mailing Address
Miss KEY H PARK LCAT
2833 201ST ST
BAYSIDE, NY 11360-2320
Phone number: 917-331-2029
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