Anisa Parks, LICSW

NPI #1245101815 in Eatonville, Washington

Provider Information

NPI Number: 1245101815
Entity Type: Individual
Name: Anisa Parks, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 12216 CLEAR LAKE SOUTH RD E
City: Eatonville
State: Washington
ZIP Code: 98328-8347
Phone: (253) 254-2586

Specialties & Taxonomy Codes

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

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