Individual
CORA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9241 CENTRALIA, REDFORD, MI 48239-1882
(313) 478-3374
Mailing address
9241 CENTRALIA, REDFORD, MI 48239-1882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803086910
MI
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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