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1275968430
ANDREA SPARKS
TROY, MI
NPI
1275968430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-06
Last Update Date
2014-10-22
Business Address
-- ANDREA SPARKS
100 W BIG BEAVER RD STE 200
TROY, MI 48084-5283
Phone number: 586-242-0205
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Mailing Address
-- ANDREA SPARKS
38713 GAINSBOROUGH CT
CLINTON TOWNSHIP, MI 48038-3249
Phone number: 586-242-0205
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