Individual
KATE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7194 PARTRIDGE WAY, SALINE, MI 48176-9298
(763) 360-8494
Mailing address
7194 PARTRIDGE WAY, SALINE, MI 48176-9298
(763) 360-8494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016788
MI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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