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1154034734
MISTY PARKER
NORMAL, IL
NPI
1154034734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.025160)
Enumeration Date
2022-12-28
Last Update Date
2023-04-01
Business Address
MISTY PARKER LCSW
2200 FORT JESSE RD STE 110
NORMAL, IL 61761-6286
Phone number: 309-661-6290
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Mailing Address
MISTY PARKER LCSW
2200 FORT JESSE RD STE 110
NORMAL, IL 61761-6286
Phone number: 309-661-6290
Copy
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