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Individual
LISA M NACKOVIC PARKER
Active
Individual
LISA M NACKOVIC PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
1470
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024683
KAISER COMMERCIAL NUMBER
CO
05
—
30937809
—
CO
Enumeration date
10/15/2008
Last updated
02/17/2022
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