Individual
MR. WILLIAM P SPARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4227 9TH AVE SW, FARGO, ND 58103-2018
(701) 282-6651
Mailing address
4247 9TH AVENUE CIR S, #111, FARGO, ND 58103-7042
(701) 478-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW# 4330
ND
Other
Enumeration date
03/21/2007
Last updated
02/09/2011
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