Individual
MRS. JENNIFER ANNE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
444 ONE ELEVEN PL, COOKEVILLE, TN 38506-4358
(931) 525-5566
Mailing address
1738 DRY CREEK RD, COOKEVILLE, TN 38501-9323
(931) 526-8868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12066234
TN
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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