Individual
MR. CHARLES J PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CADC
Contact information
Practice address
19533 LAKE LYNWOOD DR, LYNWOOD, IL 60411-1420
(773) 507-7275
Mailing address
19533 LAKE LYNWOOD DR, LYNWOOD, IL 60411-1420
(773) 507-7275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013937
IL
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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