MELLISA SPARKS, AT
Counselor
Active
Individual
NPI: 1407179500
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1407179500 is the National Provider Identifier for MELLISA SPARKS, AT, a Counselor provider located in Malvern, AR. This NPI was enumerated on March 4, 2010.
MELLISA SPARKS, AT practices at 1519 E PAGE AVE, Malvern, AR 72104.
Quick Facts
- NPI
- 1407179500
- Type
- Individual
- Enumerated
- Mar 4, 2010
- Last Updated
- Mar 4, 2010
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