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Organization
SPRK LLC
Active
Organization
SPRK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RAKUN (DIRECTOR)
(512) 900-1425
Entity
Organization
Contact information
Practice address
2517 ENFIELD RD, AUSTIN, TX 78703-3715
(512) 900-1425
(866) 302-4553
Mailing address
2517 ENFIELD RD, AUSTIN, TX 78703-3715
(512) 900-1425
(866) 302-4553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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