COTY MARIE SPARKS

SAN DIEGO, CA
NPI1043058985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1538401123)
Enumeration Date2024-07-16
Last Update Date2024-07-24
Business Address
COTY MARIE SPARKS
1750 5TH AVE
SAN DIEGO, CA 92101-2754
Phone number: 619-515-2588
Mailing Address
COTY MARIE SPARKS
1750 5TH AVE
SAN DIEGO, CA 92101-2754
Phone number: 619-515-2588
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