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Individual

ROBERT W PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
5757 WOODWAY DR STE 110, HOUSTON, TX 77057-1506
(832) 850-2980
Mailing address
5757 WOODWAY DR STE 110, HOUSTON, TX 77057-1506
(832) 850-2980

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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