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Individual

EDWARD CHARLES PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4849 PAULSEN ST STE 209, SAVANNAH, GA 31405-4425
(912) 600-8800
(912) 662-1817
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW003244
GA
1041C0700X
Clinical Social Worker
Primary
CSW003701
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW003701
STATE LICENSURE
GA
01
MSW003244
STATE LICENSE
GA
Enumeration date
06/06/2006
Last updated
04/02/2026
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