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1770619900
DAVINE S. SPARKS
DECATUR, GA
NPI
1770619900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW001555)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Dr. DAVINE S. SPARKS Ph.D., LCSW
2828 WESLEY CHAPEL RD
DECATUR, GA 30034-2313
Phone number: 678-232-2765
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Mailing Address
Dr. DAVINE S. SPARKS Ph.D., LCSW
6302 STABLEWOOD WAY
LITHONIA, GA 30058-8975
Phone number: 678-232-2765
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