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1720064769
MELISSA R SPARKS
BEREA, KY
NPI
1720064769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 1592)
Enumeration Date
2005-12-21
Last Update Date
2019-11-27
Business Address
MELISSA R SPARKS LSW
104 LEGACY DR
BEREA, KY 40403-9594
Phone number: 859-986-2323
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Mailing Address
MELISSA R SPARKS LSW
1010 MAIN ST S
MC KEE, KY 40447-7089
Phone number: 606-287-7104
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