Genna Marie Sparks

NPI #1750688982 in La Plata, Maryland

Provider Information

NPI Number: 1750688982
Entity Type: Individual
Name: Genna Marie Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 24, 2011
Last Updated: Feb 24, 2011

Practice Location

Address: 6100 RADIO STATION ROAD
City: La Plata
State: Maryland
ZIP Code: 20646-2924
Phone: (301) 609-9887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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