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1689188625
KIMBERLY DAWN SPARKS
THOMPSON FALLS, MT
NPI
1689188625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MT BBH-LCPC-LIC-25712)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
KIMBERLY DAWN SPARKS
171 THE HARLOW ROAD
THOMPSON FALLS, MT 59873
Phone number: 406-546-8151
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Mailing Address
KIMBERLY DAWN SPARKS
PO BOX 14
THOMPSON FALLS, MT 59873-0014
Phone number: 406-546-8151
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