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1437938313
GRACIE SPARKS
PADUCAH, KY
NPI
1437938313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY BACB559713)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
GRACIE SPARKS
619 N 30TH ST
PADUCAH, KY 42001-4047
Phone number: 270-444-7898
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Mailing Address
GRACIE SPARKS
1102 ELM ST # SR
BENTON, KY 42025-1554
Phone number:
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