Individual
PENNY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 MC CLELLAND BLVD # B-207, JOPLIN, MO 64804-1623
(417) 623-1381
(417) 623-0457
Mailing address
7759 SE 50TH ST, BAXTER SPRINGS, KS 66713-3235
(417) 623-1381
(417) 623-0457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006035568
MO
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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