Individual
DEIRDRE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5611 HAWKGROVE PL, LITHIA, FL 33547-5806
(813) 546-0974
Mailing address
5611 HAWKGROVE PL, LITHIA, FL 33547-5806
(813) 546-0974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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