Individual
TERESA PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, CICSW
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
(608) 356-1568
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
(608) 356-1568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011377
PHYS PLUS PROV #
WI
01
—
10263
DEANCARE PROV #
WI
01
—
391023846-10
UNITY PROV #
WI
05
—
39640600
—
WI
Enumeration date
03/27/2006
Last updated
07/09/2007
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