Individual
ANDREA L SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 W MAIN ST, CARLINVILLE, IL 62626-9200
(217) 930-2106
Mailing address
1030 W MAIN ST, PO BOX 646, CARLINVILLE, IL 62626-9200
(217) 930-2106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016405
IL
Other
Enumeration date
05/04/2015
Last updated
11/03/2016
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