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Individual

MR. TERRANCE PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16408 HOLLY CREST LN, HUNTERSVILLE, NC 28078-5149
(678) 446-7286
Mailing address
16408 HOLLY CREST LN, HUNTERSVILLE, NC 28078-5149

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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