James Lewis Sparks LICSW

NPI 1316043268 - Social Worker - 104100000X

NPI Details
NPI 1316043268
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14 PORTER ST
EAST BOSTON MA, 02128-2116, US
Phone (617) 569-3189
Fax (617) 569-7890
Business Location
16 MAPLE ST
MARBLEHEAD MA, 01945-1135, US
Phone (781) 631-6923
Fax
Toxanomy
Taxonomy Code 104100000X
License State Massachusetts
License Number 111408
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According to our database, Mr. James Lewis Sparks LICSW NPI is 1316043268, taxonomy code is 104100000X and license number is 111408, license state is located at Massachusetts. James Lewis Sparks LICSW physically located at 14 Porter St, East Boston MA, 02128-2116. NPI Number James Lewis Sparks LICSW has the Individual type.

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1316043268 NPI number is provided on an as is basis without warranty of any kind. 1316043268 is maintained by the National Plan & Provider Enumeration System. The contents of James Lewis Sparks LICSW are for informational purposes only.