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Individual

MR. ELLERY LEO PARKER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCMH

Contact information

Practice address
900 HEALTH SERVICES DR, SEAFORD, DE 19973-5786
(302) 381-3743
Mailing address
20859 WILKINS LN, GEORGETOWN, DE 19947-5545
(302) 236-7948

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000764
DE

Other

Enumeration date
10/04/2016
Last updated
10/04/2016
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