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Individual

MRS. LILLY AMY PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSHS

Contact information

Practice address
455 RICHARDSON ST, ALBEMARLE, NC 28001-5925
(704) 796-5481
Mailing address
455 RICHARDSON ST, ALBEMARLE, NC 28001-5925
(704) 796-5481

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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