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1558146183
LEEANNA SPARKS
TUSCALOOSA, AL
NPI
1558146183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 5152)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
LEEANNA SPARKS
2003 25TH AVE
TUSCALOOSA, AL 35401-4527
Phone number: 205-764-0769
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Mailing Address
LEEANNA SPARKS
611 HOMESTEAD LN
TUSCALOOSA, AL 35405-9749
Phone number: 205-344-0461
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