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1568733186
DIANE LOUISE PARKER
CHARLOTTE, NC
NPI
1568733186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
Ms. DIANE LOUISE PARKER CCLS
2709 COMMONWEALTH AVENUE APARTMENT 21
CHARLOTTE, NC 28205
Phone number: 770-639-1251
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Mailing Address
Ms. DIANE LOUISE PARKER CCLS
2709 COMMONWEALTH AVE APT 21
CHARLOTTE, NC 28205-5322
Phone number: 770-639-1251
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