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1770805764
DANIEL SPARKS
LOS ANGELES, CA
NPI
1770805764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
-- DANIEL SPARKS
5838 OVERHILL DR SUITE # 3
LOS ANGELES, CA 90043-2725
Phone number: 323-295-0009
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Mailing Address
-- DANIEL SPARKS
5838 OVERHILL DR SUITE # 3
LOS ANGELES, CA 90043-2725
Phone number: 323-295-0009
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