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1912124793
MARY E. SPARKS
CORTE MADERA, CA
NPI
1912124793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy 6101)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Dr. MARY E. SPARKS Ph.D.
21 TAMAL VISTA BLVD SUITE 180
CORTE MADERA, CA 94925-1130
Phone number: 415-453-5541
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Mailing Address
Dr. MARY E. SPARKS Ph.D.
21 TAMAL VISTA BLVD SUITE 180
CORTE MADERA, CA 94925-1130
Phone number: 415-453-5541
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