DANIEL ROBERT SPARKS

BURNSVILLE, MN
NPI1780199695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304368)
Enumeration Date2017-12-14
Last Update Date2017-12-14
Business Address
DANIEL ROBERT SPARKS
11939 RIVER HILLS DR
BURNSVILLE, MN 55337-1354
Phone number: 952-890-4480
Mailing Address
DANIEL ROBERT SPARKS
11939 RIVER HILLS DR
BURNSVILLE, MN 55337-1354
Phone number:
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