Individual
GWINN ALENE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGCP, CAC-AD
Contact information
Practice address
751 N RIVERSIDE DR, CROWNSVILLE, MD 21032-1708
(443) 871-0698
Mailing address
751 N RIVERSIDE DR, CROWNSVILLE, MD 21032-1708
(443) 871-0698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15142
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
AC3321
MD
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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