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1043058985
COTY MARIE SPARKS
SAN DIEGO, CA
NPI
1043058985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1538401123)
Enumeration Date
2024-07-16
Last Update Date
2024-07-24
Business Address
COTY MARIE SPARKS
1750 5TH AVE
SAN DIEGO, CA 92101-2754
Phone number: 619-515-2588
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Mailing Address
COTY MARIE SPARKS
1750 5TH AVE
SAN DIEGO, CA 92101-2754
Phone number: 619-515-2588
Copy
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