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Organization
SPARK PSYCHOTHERAPY LLC
Active
Organization
SPARK PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE RYAN LCSW (OWNER)
(347) 526-2123
Entity
Organization
Contact information
Practice address
441 BEAVER ST, SEWICKLEY, PA 15143-1676
(347) 526-2123
Mailing address
1667 STURBRIDGE DR, SEWICKLEY, PA 15143-8514
(347) 526-2123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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