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Search › Illinois › 1041S0200X

Susan Sparks, LCSW

NPI 1275994543 · on the registry since 2016

Practice

Address
8500 N Knoxville Ave
Peoria, IL 61615
Phone
(800) 773-1682
Fax
(309) 713-2898
Organisation at this address
Skill Sprout, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Also registered as
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois