Individual
REBECCA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 LAFAYETTE CT, BARNHART, MO 63012-1169
(309) 256-3302
Mailing address
127 LAFAYETTE CT, BARNHART, MO 63012-1169
(309) 256-3302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020039901
MO
1041C0700X
Clinical Social Worker
7396
TN
Other
Enumeration date
08/03/2020
Last updated
10/06/2025
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