Organization
RACHEL M SPARN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL SPARN PSY.D. (OWNER)
(716) 572-3076
Entity
Organization
Contact information
Practice address
2810 MACK RD, FAIRFIELD, OH 45014-5130
(716) 572-3076
Mailing address
2810 MACK RD, FAIRFIELD, OH 45014-5130
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
7517
OH
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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