Individual
WENDY JEAN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
309 W 12TH ST, VANCOUVER, WA 98660-2903
(360) 334-5570
Mailing address
PO BOX 605, VANCOUVER, WA 98666-0605
(360) 334-5570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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