SearchOhio101YA0400X

Crystal Sparks, LICDC-CS, LSW

NPI 1821494469 · on the registry since 2014 · sole proprietor

Practice

Address
1012 Waverly Ave
Toledo, OH 43607
Phone
(419) 822-6478

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
104100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-10

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 Ohio