Individual
DANIEL YUSEF SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3285 FERGUSON ST. SW, TUMWATER, WA 98512
(360) 528-2590
Mailing address
1828 MILLER AVE NE, OLYMPIA, WA 98506-3446
(360) 706-5054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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