Individual
ANNEMARIE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS ED.
Contact information
Practice address
176 CHANCELLOR DR, DEPTFORD, NJ 08096-5155
(609) 670-8152
(856) 494-1495
Mailing address
304 PARKVILLE STATION ROAD, PMB 133, MANTUA, NJ 08051-1621
(609) 670-8152
(856) 494-1495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
04/05/2023
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