Individual
TASHA LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
650 N CARRIAGE PKWY STE 135, WICHITA, KS 67208-4514
(316) 927-3010
Mailing address
5517 PLAZA LN, WICHITA, KS 67208-4154
(316) 650-9285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8116
KS
1041C0700X
Clinical Social Worker
Primary
4311
KS
Other
Enumeration date
07/28/2011
Last updated
10/26/2018
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