Individual
MAKENZIE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
232 FAIRMONT CT, NASHVILLE, TN 37203-1051
(615) 474-9141
Mailing address
232 FAIRMONT CT, NASHVILLE, TN 37203-1051
(615) 474-9141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7279
TN
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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