Most Relevant Information
Provider Data
| NPI Number: | 1003332701 |
| Provider Name: | SPARKA J. PERRY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | 000703712 |
Most Important Dates
| Enumeration Date: | 08/15/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
6110 SHALLOWFORD RD STE B
CHATTANOOGA
TN
374211894
Practice Location Phone/Fax
| Phone: | 4234991031 |
| Fax: |
Provider Mailing Location
6110 SHALLOWFORD RD STE B
CHATTANOOGA
TN
374211894
Provider Mailing Phone/Fax
| Phone: | 4234991031 |
| Fax: |