Individual
MR. GENE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Mailing address
1516 NORRIS PL, APT 1, LOUISVILLE, KY 40205-1085
(502) 802-7079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004246A
IN
1041C0700X
Clinical Social Worker
Primary
KY-322
KY
Other
Enumeration date
07/14/2006
Last updated
01/02/2008
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