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Individual
MRS. REGINA LYNN SPENCER
Active
Individual
MRS. REGINA LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3804
KY
104100000X
Social Worker
4021
KY
104100000X
Social Worker
65087
TX
1041C0700X
Clinical Social Worker
Primary
4021
KY
1041C0700X
Clinical Social Worker
65087
TX
1041S0200X
School Social Worker
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394813501
—
TX
05
—
7100396920
—
KY
Enumeration date
06/30/2006
Last updated
08/07/2023
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