Individual
MISTY RENEE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8226 DEVON AVE, INDIANAPOLIS, IN 46239-1502
(317) 691-9356
Mailing address
PO BOX 964, MARION, IN 46952-0964
(765) 674-9070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
01/27/2025
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