Theresa Parks LCSW

NPI 1285949339 - Social Worker - 1041C0700X

NPI Details
NPI 1285949339
Gender Female
Enumeration Date 08/13/2010
Last Updated 08/13/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
90-37 PARSONS BLVD
JAMAICA NY, 11432, US
Phone (718) 334-6400
Fax (718) 334-6430
Business Location
79-01 BROADWAY
MANAGED CARE, D1-01
ELMHURST NY, 11373-1329, US
Phone (718) 334-1921
Fax (718) 334-3432
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 072594
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According to our database, Ms. Theresa Parks LCSW NPI is 1285949339, taxonomy code is 1041C0700X and license number is 072594, license state is located at New York. Theresa Parks LCSW physically located at 90-37 Parsons Blvd, Jamaica NY, 11432. NPI Number Theresa Parks LCSW has the Individual type.

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1285949339 NPI number is provided on an as is basis without warranty of any kind. 1285949339 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Parks LCSW are for informational purposes only.