Individual
YETHA D PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 GINGER LN APT 10, CALUMET CITY, IL 60409-3007
(708) 945-8258
(708) 392-9981
Mailing address
551 GINGER LN APT 10, CALUMET CITY, IL 60409-3007
(708) 945-8258
(708) 392-9981
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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