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Organization

MIDDLE TYGER COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CATHY F SPARKS LPC LMFT (DIRECTOR)
(864) 439-7760
Entity
Organization

Contact information

Practice address
84 GROCE RD, MIDDLE TYGER COMMUNITY CENTER, LYMAN, SC 29365
(864) 439-7760
(864) 439-7034
Mailing address
84 GROCE RD, MIDDLE TYGER COMMUNITY CENTER, LYMAN, SC 29365
(864) 439-7760
(864) 439-7034

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2745
SC

Other

Enumeration date
10/26/2007
Last updated
10/26/2007
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