Individual
IRENE PARK PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2523, 22ND STREET, FORT CAMPBELL, KY 42223
(270) 798-8601
Mailing address
2523, 22ND STREET, FORT CAMPBELL, KY 42223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009981
GA
Other
Enumeration date
03/06/2026
Last updated
03/12/2026
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