SPARKLE L NICKS

PEORIA, IL
NPI1124627005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2020-10-21
Last Update Date2020-10-21
Business Address
SPARKLE L NICKS
10508 CHURCHILL DR
PEORIA, IL 61615-1178
Phone number: 309-706-3676
Mailing Address
SPARKLE L NICKS
2610 W RICHWOODS BLVD
PEORIA, IL 61604-7112
Phone number: 309-323-6648