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1457907990
SALLY PARKER
VIENNA, IL
NPI
1457907990
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Former Name
SALLY RAMSEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
SALLY PARKER BS Ed MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
SALLY PARKER BS Ed MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Copy
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