Individual
IAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6666
Mailing address
PO BOX 774, LITCHFIELD, CT 06759-0774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8094
CT
Other
Enumeration date
09/16/2008
Last updated
02/20/2013
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