Individual
DR. SPARKLES RANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
3141 LOWER CREEK DR, DOUGLASVILLE, GA 30135-8206
(786) 380-2235
Mailing address
3141 LOWER CREEK DR, DOUGLASVILLE, GA 30135-8206
(786) 380-2235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006557
GA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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