Individual
MIGNON N PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3206 COUNTRY WALK DR, POWDER SPRINGS, GA 30127-3843
(617) 980-4886
Mailing address
32 MELVILLE AVE, DORCHESTER CENTER, MA 02124-2106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006998
GA
Other
Enumeration date
07/06/2010
Last updated
01/09/2020
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