Most Relevant Information
Provider Data
| NPI Number: | 1003175068 |
| Provider Name: | BRANDY SPARKS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 51827 |
Most Important Dates
| Enumeration Date: | 05/11/2012 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
2727 MORGAN AVE STE 200
CORPUS CHRISTI
TX
78405
Practice Location Phone/Fax
| Phone: | 3613896018 |
| Fax: |
Provider Mailing Location
PO BOX 10056
CORPUS CHRISTI
TX
784600056
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |