THERESA A SPARKS
Psychologist at Egret Ln, Fernandina, FL

License number
Florida 9173
Issued Date
Oct 13, 2014
Effective Date
Oct 13, 2014
Expiration Date
May 31, 2018
Category
Health Care
Type
Psychologist
Address
Address
2111 Egret Ln, Fernandina, FL 32034
Phone
(904) 891-4565

Personal information

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Name
Address
Phone
Theresa Sparks
5160 Tower Rd, Perry, FL 32348
(850) 223-1482
Theresa Sparks, age 65
713 Pinar Dr, Orlando, FL 32825
(407) 275-6911
Theresa Sparks, age 71
5324 Peach Ave APT B, Seffner, FL 33584
(813) 662-7513
Theresa Sparks, age 71
610 De Resine Carre St, Seffner, FL 33584
Theresa Sparks
3219 Cortez Blvd, Fort Myers, FL 33901
(941) 228-5566

Organization information

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THERESA A. SPARKS, PH.D., INC

2111 Egret Ln, Fernandina Beach, FL 32034

Registration:
Feb 6, 2015
State ID:
P15000012969
Business type:
Florida Profit Corporation
Directors:
Sparks, Theresa A, Ph.d, 2111 Egret Ln, Fernandina Beach, FL 32034 (Physical),Theresa A. Sparks (Director)
Agent:
Corporate Creations Network, Inc,11380 Prosperity Farms Rd #221E, Palm Beach Gardens, FL 33410 (Physical)
EIN:
NO-NE