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1437687753
MALLORY KING SPARKS
SAN ANTONIO, TX
NPI
1437687753
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Former Name
MALLORY ELIZABETH KING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 57864)
Enumeration Date
2017-05-31
Last Update Date
2020-02-18
Business Address
Mrs. MALLORY KING SPARKS LCSW
2300 W COMMERCE ST STE 306
SAN ANTONIO, TX 78207-3841
Phone number: 325-665-9306
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Mailing Address
Mrs. MALLORY KING SPARKS LCSW
4901 MORENA BLVD STE 109
SAN DIEGO, CA 92117-3370
Phone number: 858-272-3992
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