Individual
JASMINE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 KEYSTONE DR, CLEVELAND HTS, OH 44121-2470
(216) 673-7976
Mailing address
989 KEYSTONE DR, CLEVELAND HTS, OH 44121-2470
(216) 673-7976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2208561
OH
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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