Individual
JILL H SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-9353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
581977
UT
Other
Enumeration date
05/06/2022
Last updated
06/17/2022
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