Jacqueline Denise Sparks

NPI #1003195793 in Willis, Texas

Provider Information

NPI Number
1003195793
Entity Type
Individual
Name
Jacqueline Denise Sparks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 11, 2011
Last Updated
Aug 11, 2011

Practice Location

Address
12552 CANYON HILL DR
City
Willis
State
Texas
ZIP Code
77318-4641
Phone
(936) 445-9141

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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