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1043740988
JONATHAN F SPARKS
ALBUQUERQUE, NM
NPI
1043740988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM SWB-2023-0098)
Enumeration Date
2017-06-13
Last Update Date
2023-06-28
Business Address
JONATHAN F SPARKS LCSW
4000 EDITH BLVD NE
ALBUQUERQUE, NM 87107-2222
Phone number: 505-469-2272
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Mailing Address
JONATHAN F SPARKS LCSW
4000 EDITH BLVD NE
ALBUQUERQUE, NM 87107-2222
Phone number: 505-469-2272
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