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Individual
SUE-JACQUELINE SPENCER
Active
Individual
SUE-JACQUELINE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2011025652
MO
1041C0700X
Clinical Social Worker
Primary
SW11371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013081100
—
FL
Enumeration date
01/12/2012
Last updated
05/06/2015
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