Individual
MARSHA A. SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 JULIANNE DR, MARION, IL 62959-1525
(618) 997-2513
Mailing address
1700 JULIANNE DR, MARION, IL 62959-1525
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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