STEPHANIE ANN SPARKS

CENTRALIA, IL
NPI1861662462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-03-10
Last Update Date2008-03-10
Business Address
Ms. STEPHANIE ANN SPARKS MAPC
101 S LOCUST ST
CENTRALIA, IL 62801-3506
Phone number: 618-533-1391
Mailing Address
Ms. STEPHANIE ANN SPARKS MAPC
6056 BISHOPS PL
SAINT LOUIS, MO 63109-3300
Phone number: 314-352-2396
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