MRS. Mattie A. Sparks, L.S.W. M.A.

NPI #1841501152 in Sandusky, Ohio

Provider Information

NPI Number: 1841501152
Entity Type: Individual
Name: MRS. Mattie A. Sparks, L.S.W. M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: L.S.W. M.A.
Enumeration Date: Jul 1, 2010
Last Updated: Jul 1, 2010

Practice Location

Address: 4444 GALLOWAY RD.
City: Sandusky
State: Ohio
ZIP Code: 44870
Phone: (419) 621-8773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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