Individual
CORA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1899 TATE BLVD SE, HICKORY, NC 28602-4200
(828) 201-6609
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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