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1912967019
DOUGLAS J. PARK
DEARBORN, MI
NPI
1912967019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MI 6301011777)
Enumeration Date
2006-03-24
Last Update Date
2014-05-19
Business Address
MR. DOUGLAS J. PARK PH.D
2314 MONROE ST
DEARBORN, MI 48124-3010
Phone number: 313-565-5937
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Mailing Address
MR. DOUGLAS J. PARK PH.D
2314 MONROE ST
DEARBORN, MI 48124-3010
Phone number: 313-565-5937
Copy
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