Organization
SPARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA J GOODE MSW, LSW (SOCIAL WORKER/OWNER)
(419) 233-3061
Entity
Organization
Contact information
Practice address
323 WALNUT ST STE A, LAWRENCEBURG, IN 47025-1841
(419) 233-3061
Mailing address
323 WALNUT ST STE A, LAWRENCEBURG, IN 47025-1841
(419) 233-3061
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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