| Doctor Name: | MAGGIE DIANE SPARKS |
| NPI Number: | 1114185543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A, |
| License Number: | |
| Business Practice Address: | 227 E Main St Festus, MO - 630281952 |
| Business Phone Number: | 6369312700 |
| Business Fax Number: | |
| Mailing Address: | 227 E Main St, FESTUS |
| State: | MO |
| Postal Code: | 630281952 |
| Phone Number: | 6369312700 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |