Individual
MR. JAMES LEWIS SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(617) 569-3189
(617) 569-7890
Mailing address
16 MAPLE ST, MARBLEHEAD, MA 01945-1135
(781) 631-6923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111408
MA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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