Individual
MS. STACEY LYNN PARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
26 SCHROEDER CT STE 210, MADISON, WI 53711-2503
(608) 270-2511
(608) 270-0467
Mailing address
26 SCHROEDER CT STE 210, MADISON, WI 53711-2503
(608) 270-2511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6601
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39739500
—
WI
Enumeration date
06/22/2007
Last updated
11/12/2024
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