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Organization

TASHA L. PARKER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TASHA PARKER LSCSW (OWNER/OPERATOR)
(316) 650-9285
Entity
Organization

Contact information

Practice address
5517 PLAZA LN, WICHITA, KS 67208-4154
(316) 202-8672
Mailing address
5517 PLAZA LN, WICHITA, KS 67208-4154
(316) 650-9285

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
10/26/2018
Last updated
10/27/2018
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