Sparkle L Nicks
Sparkle L Nicks is a Marriage & Family Therapist in Peoria, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
10508 Churchill DrPeoria, IL 61615-1178
Phone: (309) 706-3676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1124627005 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 21, 2020 |
| Last updated in NPPES | October 21, 2020 |
| Certification date | October 21, 2020 |
| Mailing address | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 |
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