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Organization
DANIELLE SPARK, LCSW
Active
Organization
DANIELLE SPARK, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SPARK LCSW (LCSW)
(530) 219-1114
Entity
Organization
Contact information
Practice address
1712 PICASSO AVE STE A, DAVIS, CA 95618-0546
(530) 219-1114
Mailing address
1712 PICASSO AVE STE A, DAVIS, CA 95618-0546
(530) 219-1114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65609
CA
Other
Enumeration date
12/07/2016
Last updated
12/10/2020
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