KELLY SPARKS

YUKON, OK
NPI1073732947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  2975)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
Mrs. KELLY SPARKS MACCCSLP
4928 CINDERWOOD DR
YUKON, OK 73099-2118
Phone number: 405-350-2654
Mailing Address
Mrs. KELLY SPARKS MACCCSLP
4928 CINDERWOOD DR
YUKON, OK 73099-2118
Phone number: 405-350-2654