Individual
MRS. BETH R PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
409 VANDIVER DR, BLDG 6 SUITE 104, COLUMBIA, MO 65202-3754
(573) 442-5475
(573) 442-5145
Mailing address
409 VANDIVER DR, BLDG 6 SUITE 104, COLUMBIA, MO 65202-3754
(573) 442-5475
(573) 442-5145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002930
MO
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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