Individual
AMY LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
Mailing address
4092 S MEADOWLARK RD, EAGAN, MN 55122-1757
(952) 688-2073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31577
MN
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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