Individual
DR. MISTI SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6136 FRISCO SQUARE BLVD, SUITE 400, FRISCO, TX 75034-3246
(469) 323-1586
Mailing address
10332 FRANKLIN DR, PROVIDENCE VILLAGE, TX 76227-7588
(940) 368-6748
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201137
TX
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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