Individual
MISS BARBARA KAY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LICSW
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7379
(218) 828-7390
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7379
(218) 828-7390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1811
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151775
UCARE
MN
01
—
46D09MI
BCBS
MN
Enumeration date
11/28/2006
Last updated
07/08/2007
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