Individual
MILDRED SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
219 FOGGY BOTTOM TRL, MARTINSVILLE, VA 24112-8653
(540) 793-7668
(540) 793-7668
Mailing address
219 FOGGY BOTTOM TRL, MARTINSVILLE, VA 24112-8653
(540) 793-7668
(540) 793-7668
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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