Individual
ANITA LORRAINE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7321 SMITH AVE, MAYS LANDING, NJ 08330-4133
(908) 892-7317
Mailing address
7321 SMITH AVE, MAYS LANDING, NJ 08330-4133
(908) 892-7317
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06449300
NJ
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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