Sidney Ann Sparks, LLMSW
Social Worker in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1023901360
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1023901360
- Entity type
- Individual (NPI-1)
- Name
- Sidney Ann Sparks
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 6851119726 | MI | Yes |
Practice location
790 Fuller Ave NeGrand Rapids, MI 49503-1918
Phone 616-336-3909
Mailing address
790 Fuller Ave NeGrand Rapids, MI 49503-1918
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