Individual
MR. DEWAYNE LAMONT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 418-3950
(615) 460-4308
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 418-3950
(615) 460-4308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BSW0000000820
TN
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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