SPARKLE THOMAS

PONTIAC, MI
NPI1033970090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-17
Last Update Date2024-01-17
Business Address
SPARKLE THOMAS
1136 CARPENTER DR
PONTIAC, MI 48340-3313
Phone number: 248-396-2963
Mailing Address
SPARKLE THOMAS
1136 CARPENTER DR
PONTIAC, MI 48340-3313
Phone number: 248-396-2963
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