Individual
MRS. SUSAN WILKES SPARKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
2228 STARLING ST, BRUNSWICK, GA 31520-4200
(912) 264-3141
(912) 264-6190
Mailing address
2228 STARLING ST, BRUNSWICK, GA 31520-4200
(912) 264-3141
(912) 264-6190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/24/2006
Last updated
07/09/2007
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