Individual
DORRETTA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3330 W 177TH ST, SUITE 1F, HAZEL CREST, IL 60429-2184
(708) 460-9833
(708) 460-1117
Mailing address
500 RAVINIA PL, ORLAND PARK, IL 60462-3758
(708) 460-9833
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004565
IL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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