Individual
ERICA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SSP
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
336939
MO
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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