Anisa Parks, LICSW Valid NPI
Individual provider · Clinical Social Worker · Eatonville, WA
- NPI
- 1245101815
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LW60946086 (WA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-09-16
- Last updated
- 2025-09-16
Practice location
12216 Clear Lake South Rd E
Eatonville, WA 98328-8347
(253) 254-2586