Individual
GERALDINE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Contact information
Practice address
14122 ROSCOE BLVD, PANORAMA CITY, CA 91402-4260
(818) 796-0385
Mailing address
14122 ROSCOE BLVD, PANORAMA CITY, CA 91402-4260
(818) 796-0385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
104100000X
Social Worker
Primary
98080
CA
Other
Enumeration date
11/06/2021
Last updated
11/24/2021
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