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Individual

JOANNA PARKER I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
KY
1041C0700X
Clinical Social Worker
Primary
259078
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
08/11/2020
Last updated
05/07/2024
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