Individual
HEATHER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5425
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-5425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60429756
WA
1041C0700X
Clinical Social Worker
LCSW-1345
ID
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568437341
SOCIAL WORK
—
Enumeration date
02/23/2006
Last updated
04/12/2019
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