Individual
CAROLYN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 JEFFERSON AVE, BROOKLYN, NY 11221-1608
(516) 456-7390
Mailing address
612 JEFFERSON AVE, BROOKLYN, NY 11221-1608
(516) 456-7390
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
072776
NY
1041S0200X
School Social Worker
Primary
9326255
NY
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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