Lori A Park, MS,LCSW

NPI #1053561431 in Globe, Arizona

Provider Information

NPI Number: 1053561431
Entity Type: Individual
Name: Lori A Park, MS,LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MS,LCSW
Enumeration Date: Sep 23, 2008
Last Updated: Sep 23, 2008

Practice Location

Address: 415 W BASELINE SPUR RD
City: Globe
State: Arizona
ZIP Code: 85501
Phone: (928) 402-9297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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