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1720604259
DANIELLE SPARK
DAVIS, CA
NPI
1720604259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 65609)
Enumeration Date
2020-06-20
Last Update Date
2020-12-10
Business Address
DANIELLE SPARK LCSW
1712 PICASSO AVE STE A
DAVIS, CA 95618-0546
Phone number: 530-219-1114
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Mailing Address
DANIELLE SPARK LCSW
1712 PICASSO AVE STE A
DAVIS, CA 95618-0546
Phone number: 530-219-1114
Copy
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