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Individual
MICHELLE C PARK
Active
Individual
MICHELLE C PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
07/10/2026
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