Individual
JULIA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8624 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-3031
(205) 643-0589
Mailing address
8624 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-3031
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L444
AL
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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