Individual
ANTIONETTE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9332 ANNAPOLIS RD, SUITE # 217, LANHAM, MD 20706-3113
(240) 505-3149
Mailing address
6830 PINEWAY, UNIVERSITY PARK, MD 20782-1161
(240) 505-3149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09754
MD
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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