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Individual

MRS. CAROL SUE SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, ACSW

Contact information

Practice address
315 S BERKLEY RD, KOKOMO, IN 46901-5114
(765) 457-9719
(765) 457-5991
Mailing address
4015 ALBRIGHT RD, KOKOMO, IN 46902-4469
(765) 455-1020
(765) 455-1920

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000454A
IN

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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