Individual
GWEN SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
185 NICHOLSON FARM RD, BLAIRSVILLE, GA 30512-2814
(706) 897-5489
Mailing address
185 NICHOLSON FARM RD, BLAIRSVILLE, GA 30512-2814
(706) 897-5489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14127
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP007736
GA
Other
Enumeration date
02/10/2014
Last updated
05/12/2020
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