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Individual

DR. GAREN S SPARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
4811E HARDWARE DR NE STE 1, ALBUQUERQUE, NM 87109-2019
(505) 268-5933
(505) 268-0184
Mailing address
4811E HARDWARE DR NE STE 1, ALBUQUERQUE, NM 87109-2019
(505) 268-5933
(505) 268-0184

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3885
NM

Other

Enumeration date
11/05/2008
Last updated
11/07/2008
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