Individual
MR. JEFFREY STEVEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
230 E MARYDALE AVE, SUITE 2, SOLDOTNA, AK 99669-7648
(907) 260-3691
(907) 260-3697
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7300
(907) 260-7301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1072
AK
Other
Enumeration date
04/22/2011
Last updated
01/09/2014
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