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Individual

MR. SPENCER LEE DEWOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2250 LATHAM ST APT 21, MOUNTAIN VIEW, CA 94040-1601
(559) 392-1621
Mailing address
2250 LATHAM STREET APT. 21, MOUNTAIN VIEW, CA 94040
(559) 392-1621

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01AV
MEDICAL
CA
Enumeration date
06/29/2010
Last updated
06/29/2010
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