Individual
LYDIA SPARLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 BONHOMME AVE STE 201, CLAYTON, MO 63105-3515
(314) 472-8570
Mailing address
16222 WATERFRONT WAY, WILDWOOD, MO 63040-1512
(314) 602-5497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023033791
MO
101YS0200X
School Counselor
—
MO
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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