Tara Danielle Parker, LCSW
Social Worker, Clinical in Holly Springs, NC. Individual provider (NPI-1).
NPI number1164046116
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1164046116
- Entity type
- Individual (NPI-1)
- Name
- Tara Danielle Parker
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2020
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C007109 | NC | Yes |
Practice location
117 Tonks TrlHolly Springs, NC 27540-8281
Phone 910-233-3644
Mailing address
117 Tonks TrlHolly Springs, NC 27540-8281
Phone 910-233-3644
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