Individual
MARY E SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
3 RIVERVIEW DR, MANITOWOC, WI 54220-3767
(920) 645-1411
Mailing address
3 RIVERVIEW DR, MANITOWOC, WI 54220-3767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130124-121
WI
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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