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Individual
SUZANNE SPARKS
Active
Individual
SUZANNE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2020038805
MO
101YP2500X
Professional Counselor
Primary
2020038805
MO
104100000X
Social Worker
—
—
Other
Enumeration date
10/24/2016
Last updated
06/22/2022
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