Individual
DANIELLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509-4266
(859) 948-2808
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016
KY
Other
Enumeration date
08/04/2011
Last updated
08/28/2017
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