Individual
KATHERINE DENIECE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(000) 000-0000
Mailing address
3 CONCORD AVE APT 4, CAMBRIDGE, MA 02138-3616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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