Individual
KATHERINE NICOLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 447-5081
(802) 447-5074
Mailing address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 447-5081
(802) 447-5074
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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