Individual
MELANIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 HENRY CANNON RD, BRAXTON, MS 39044-9656
(601) 572-5518
Mailing address
458 HENRY CANNON RD, BRAXTON, MS 39044-9656
(601) 572-5518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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