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1992411334
MARK SPARKS
SAINT AUGUSTINE, FL
NPI
1992411334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL SW20968)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
MARK SPARKS LCSW
721 A1A BEACH BLVD STE 7
SAINT AUGUSTINE, FL 32080-6737
Phone number: 904-844-8308
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Mailing Address
MARK SPARKS LCSW
240 WHITLAND WAY
SAINT AUGUSTINE, FL 32086-5953
Phone number: 954-540-9752
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