Individual
BRENDA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
217 LOMAX LN, ELKVIEW, WV 25071-7515
(304) 965-3056
Mailing address
1520 WASHINGTON ST E, CHARLESTON, WV 25311-2511
(304) 414-5936
(304) 343-7009
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00942747
WV
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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