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NPI Profile for PHILLIP PARKER in TUNICA, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1609063742 |
|
| Status | Active | |
| Credentials | M.S. | |
| Entity | Individual | |
| Enumeration date | 10/03/2007 | |
| Last updated | 10/03/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PHILLIP PARKER
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PHILLIP PARKER, M.S.