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1417180720
JESSE SPARKS
WINTER PARK, FL
NPI
1417180720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH9947)
Enumeration Date
2009-09-02
Last Update Date
2009-09-02
Business Address
Mr. JESSE SPARKS L.M.H.C.
1345 CLAY ST
WINTER PARK, FL 32789-5404
Phone number: 407-325-5521
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Mailing Address
Mr. JESSE SPARKS L.M.H.C.
1345 CLAY ST
WINTER PARK, FL 32789-5404
Phone number: 407-325-5521
Copy
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