Individual
DEANNA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 E MARKET ST APT 3, LONG BEACH, CA 90805-5938
(562) 824-6250
Mailing address
440 E MARKET ST APT 3, LONG BEACH, CA 90805-5938
(562) 824-6250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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