Individual
SPARKLE PATRICE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, CHW
Contact information
Practice address
4401 CONNER ST, DETROIT, MI 48215-2201
(313) 571-2800
Mailing address
4088 LEMAY ST, DETROIT, MI 48214-1646
(313) 407-0214
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3772404-019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3772404-019
—
MI
Enumeration date
04/14/2026
Last updated
04/14/2026
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