Individual
MR. REGGIE ANTHONY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 CONGRESS ST, DANVERS, MA 01970
(252) 268-0094
Mailing address
35 CONGRESS ST, DANVERS, MA 01970
(252) 268-0094
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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