Individual
KEA RESHUN SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3355 SWEETWATER RD, APT. 10206, LAWRENCEVILLE, GA 30044-8544
(770) 820-5755
Mailing address
3355 SWEETWATER RD, APT. 10206, LAWRENCEVILLE, GA 30044-8544
(770) 820-5755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006043
GA
Other
Enumeration date
07/26/2011
Last updated
08/09/2011
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