Individual
ANDREW JACKSON PARKS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3433 W SHAW AVE, FRESNO, CA 93711-3229
(559) 374-3990
Mailing address
3433 W SHAW AVE # 107, FRESNO, CA 93711-3229
(559) 374-3990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108593
CA
Other
Enumeration date
02/03/2015
Last updated
07/15/2025
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