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1972105682
LISA PARKS
NEWARK, NJ
NPI
1972105682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
LISA PARKS
219 AVON AVE
NEWARK, NJ 07108-1502
Phone number: 732-427-3753
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Mailing Address
LISA PARKS
PO BOX 1105
MAPLEWOOD, NJ 07040-0452
Phone number:
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