Spark

NPI #1528429917 in Laramie, Wyoming

Provider Information

NPI Number
1528429917
Entity Type
Organization
Organization Name
Spark
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 11, 2016
Last Updated
Mar 11, 2016

Practice Location

Address
903 S 9TH STREET
State
Wyoming
ZIP Code
82070
Phone
(307) 399-2880

Authorized Official

Name
GINA SIGEL, LPC
Title
OWNER
Phone
(307) 399-2880

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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