Individual
ANISA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12216 CLEAR LAKE SOUTH RD E, EATONVILLE, WA 98328-8347
(253) 254-2586
Mailing address
12216 CLEAR LAKE SOUTH RD E, EATONVILLE, WA 98328-8347
(253) 254-2586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60946086
WA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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