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1497835003
DIANE SPARKS
STARKVILLE, MS
NPI
1497835003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 1102)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- DIANE SPARKS LPC
302 N JACKSON ST
STARKVILLE, MS 39759-2504
Phone number: 662-323-9261
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Mailing Address
-- DIANE SPARKS LPC
302 N JACKSON ST
STARKVILLE, MS 39759-2504
Phone number: 662-323-9318
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