Misty Parker, LCSW

NPI #1154034734 in Normal, Illinois

Provider Information

NPI Number
1154034734
Entity Type
Individual
Name
Misty Parker, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 28, 2022
Last Updated
Apr 1, 2023

Practice Location

Address
2200 FORT JESSE RD STE 110
City
Normal
ZIP Code
61761-6286
Phone
(309) 661-6290

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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