Individual
ALEXIS SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 SPIELBUSCH AVE STE 107, TOLEDO, OH 43604-5372
(419) 508-6434
Mailing address
931 WAVERLY AVE, TOLEDO, OH 43607-3735
(419) 704-2697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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