Individual
MRS. JANICE MARIE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
400 N WOODLAWN ST STE 121, WICHITA, KS 67208-4331
(316) 796-6035
(316) 712-6095
Mailing address
5321 SHADOWRIDGE CT, WICHITA, KS 67220-4260
(316) 204-9571
(316) 712-6095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8614
KS
1041C0700X
Clinical Social Worker
Primary
4883
KS
Other
Enumeration date
09/07/2012
Last updated
02/13/2019
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