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Individual

MRS. JACQUELINE B SPENCER

Active
Find providers by NPI
Individual

MRS. JACQUELINE B SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, MHA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
310400000X
Assisted Living Facility
310500000X
Mental Illness Intermediate Care Facility
314000000X
Skilled Nursing Facility
315P00000X
Intellectual Disabilities Intermediate Care Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
347C00000X
Private Vehicle

Other

Enumeration date
03/04/2013
Last updated
02/18/2016
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