Individual
LISA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS-PSYCHOLOGY
Contact information
Practice address
123 19TH ST NE, WATERTOWN, SD 57201
(605) 886-0123
(605) 886-5447
Mailing address
PO BOX 1030, WATERTOWN, SD 57201
(605) 886-0123
(605) 886-5447
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
SD
Other
Enumeration date
06/08/2016
Last updated
10/02/2019
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