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Individual
KRISTIN SPICER
Active
Individual
KRISTIN SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011133204
MOLINA HEALTHCARE
FL
Enumeration date
06/27/2021
Last updated
06/27/2021
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