Individual
DANIEL ROBERT SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11939 RIVER HILLS DR, BURNSVILLE, MN 55337-1354
(952) 890-4480
Mailing address
11939 RIVER HILLS DR, BURNSVILLE, MN 55337-1354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304368
MN
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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