Lachanda Clotiel Parks SR. LCAS-A

NPI 1710024880 - Counselor - 101YA0400X

NPI Details
NPI 1710024880
Gender Female
Enumeration Date 01/30/2007
Last Updated 05/30/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
6532 PROSPERITY COMMONS DR
CHARLOTTE NC, 28269-2326, US
Phone (704) 728-2864
Fax (704) 688-6641
Business Location
6532 PROSPERITY COMMONS DR
CHARLOTTE NC, 28269-2326, US
Phone (704) 728-2864
Fax (704) 688-6641
Toxanomy
Taxonomy Code 101YA0400X
License State North Carolina
License Number 3307-A
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According to our database, Mrs. Lachanda Clotiel Parks SR. LCAS-A NPI is 1710024880, taxonomy code is 101YA0400X and license number is 3307-A, license state is located at North Carolina. Lachanda Clotiel Parks SR. LCAS-A physically located at 6532 Prosperity Commons Dr, Charlotte NC, 28269-2326. NPI Number Lachanda Clotiel Parks SR. LCAS-A has the Individual type.

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1710024880 NPI number is provided on an as is basis without warranty of any kind. 1710024880 is maintained by the National Plan & Provider Enumeration System. The contents of Lachanda Clotiel Parks SR. LCAS-A are for informational purposes only.