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Individual

MELISSA SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 371-3175
Mailing address
53 VICTORIA HEIGHTS RD, HYDE PARK, MA 02136-3259
(617) 371-3175

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/05/2022
Last updated
01/05/2022
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