Kaitlyn Jo Sparks, LSW

NPI #1619482114 in Celina, Ohio

Provider Information

NPI Number: 1619482114
Entity Type: Individual
Name: Kaitlyn Jo Sparks, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Dec 6, 2017
Last Updated: Dec 12, 2022

Practice Location

Address: 4761 STATE ROUTE 29
City: Celina
State: Ohio
ZIP Code: 45822-8216
Phone: (419) 584-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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