Individual
MS. DANIELLE RENEE SPARKS
Active
Individual
MS. DANIELLE RENEE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007503
IA
1041C0700X
Clinical Social Worker
Primary
007503
IA
Other
Enumeration date
06/20/2010
Last updated
02/29/2016
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