Individual
CAROL SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3905 GRISSOM PKWY, COCOA, FL 32926-3669
(321) 637-1866
(321) 634-3539
Mailing address
175 SAMARITAN DR, JASPER, GA 30143-1964
(706) 253-4673
(706) 253-4679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13717
FL
Other
Enumeration date
09/29/2016
Last updated
05/28/2019
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