Individual
BILLY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
1118 S 23RD ST, PHILADELPHIA, PA 19146-2440
(917) 818-0448
Mailing address
1118 S 23RD ST, PHILADELPHIA, PA 19146-2440
(917) 818-0448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
093562
NY
1041C0700X
Clinical Social Worker
Primary
CW021011
PA
Other
Enumeration date
02/07/2019
Last updated
10/15/2024
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