Individual
EMILY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4111 COMMONS DR W APT 1101, DESTIN, FL 32541-8489
(850) 658-2688
Mailing address
4111 COMMONS DR W APT 1101, DESTIN, FL 32541-8489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15410
FL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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