Provider Information for 1275788358
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THERESA PARRIS LCSW
Other Names:Professional Name:THERESA PARRIS-PERRYSex: Female
NPI: 1275788358
Last Updated: 2008-11-22
Certification Date:
Certification Date:
Details
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NPI | 1275788358 | ||||||||
Enumeration Date | 2008-11-17 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 4353 GUNTHER AVE BRONX, NY 10466-1807 United States Phone: 718-231-3237 | Fax: | ||||||||
Primary Practice Address | 3250 WESTCHESTER AVE SUITE 108 BRONX, NY 10461-4500 United States Phone: 718-597-5559 | Fax:718-597-7277 | ||||||||
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