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1689124505
ELLERY LEO PARKER
SEAFORD, DE
NPI
1689124505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: DE PC-0000764)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
Mr. ELLERY LEO PARKER LPCMH
900 HEALTH SERVICES DR
SEAFORD, DE 19973-5786
Phone number: 302-381-3743
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Mailing Address
Mr. ELLERY LEO PARKER LPCMH
20859 WILKINS LN
GEORGETOWN, DE 19947-5545
Phone number: 302-236-7948
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