Individual
CHRISTINE S. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 CONSTITUTION AVE NE STE 4, ALBUQUERQUE, NM 87110-5931
(505) 255-5099
Mailing address
PO BOX 3338, ALBUQUERQUE, NM 87190-3338
(505) 255-5099
(505) 255-5099
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
336590
NM
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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