Individual
SUNNI L SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
DSP
Contact information
Practice address
85 CENTRAL AVE # B, ATHENS, OH 45701-1503
(740) 270-2233
Mailing address
85 CENTRAL AVE # B, ATHENS, OH 45701-1503
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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