Individual
ISADORE DARRINTON SPARKS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2950 W 12TH AVE, GARY, IN 46404-2024
(773) 984-9854
Mailing address
2950 W 12TH AVE, GARY, IN 46404-2024
(773) 984-9854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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