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1659588507
GLENN PARKS
MADISON, WI
NPI
1659588507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 3490)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- GLENN PARKS MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
-- GLENN PARKS MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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