Individual
JAYME SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 N LAKE DR, PRESTONSBURG, KY 41653-1278
(606) 422-0883
Mailing address
516 NORTH LAKE DRIVE, PRESTONSBURG, KY 41653
(606) 216-7993
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/11/2014
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