Individual
DR. HYESHIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSSA, LCSW-C
Contact information
Practice address
9727 GREENSIDE DR, COCKEYSVILLE, MD 21030-5030
(603) 667-5659
Mailing address
9727 GREENSIDE DR STE 102, COCKEYSVILLE, MD 21030-5000
(603) 667-5659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19587
MD
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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