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1104063056
JEANINE B SPARKS
WASILLA, AK
NPI
1104063056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 512)
Enumeration Date
2009-01-14
Last Update Date
2009-01-14
Business Address
-- JEANINE B SPARKS LPC
491 N KNIK ST
WASILLA, AK 99654-7049
Phone number: 907-727-8103
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Mailing Address
-- JEANINE B SPARKS LPC
491 N KNIK ST
WASILLA, AK 99654-7049
Phone number: 907-727-8103
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