ISADORE DARRINTON SPARKS

GARY, IN
NPI1750160537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
ISADORE DARRINTON SPARKS MS
2950 W 12TH AVE
GARY, IN 46404-2024
Phone number: 773-984-9854
Mailing Address
ISADORE DARRINTON SPARKS MS
2950 W 12TH AVE
GARY, IN 46404-2024
Phone number: 773-984-9854
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