Emily Sparks, LCSW

NPI #1679040471 in Destin, Florida

Provider Information

NPI Number: 1679040471
Entity Type: Individual
Name: Emily Sparks, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 4111 COMMONS DR W APT 1101
City: Destin
State: Florida
ZIP Code: 32541-8489
Phone: (850) 658-2688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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