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Individual
MRS. JACQUELINE S PARKER
Active
Individual
MRS. JACQUELINE S PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109828513
UBH
TX
05
—
149304101
—
TX
01
—
464056
VALUE OPTIONS
—
Enumeration date
05/16/2007
Last updated
04/27/2010
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