Individual
LISA LARAE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 KANSAS CITY ST STE 100, RAPID CITY, SD 57701-3798
(605) 892-5315
Mailing address
529 KANSAS CITY ST STE 100, RAPID CITY, SD 57701-3798
(605) 892-5315
(605) 892-5315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6829
SD
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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