Individual
CONSTANCE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3015 4TH AVE, RICHMOND, VA 23222-4024
(412) 512-5118
Mailing address
3105 4TH AVE, RICHMOND, VA 23222-4037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903001948
VA
1041C0700X
Clinical Social Worker
Primary
0904013122
VA
1041C0700X
Clinical Social Worker
CW019915
PA
Other
Enumeration date
02/19/2015
Last updated
08/02/2021
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