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1881015998
SHELLY SPARKS
OWOSSO, MI
NPI
1881015998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802068241)
Enumeration Date
2013-12-17
Last Update Date
2013-12-17
Business Address
-- SHELLY SPARKS LBSW
1555 INDUSTRIAL DR
OWOSSO, MI 48867-9775
Phone number: 989-723-6791
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Mailing Address
-- SHELLY SPARKS LBSW
PO BOX 428
OWOSSO, MI 48867-0428
Phone number:
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