Individual
BIANCA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MECHANIC ST, LEXINGTON, KY 40507-1086
(859) 253-1686
Mailing address
201 MECHANIC ST, LEXINGTON, KY 40507-1086
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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