Individual
MR. EARL SPENCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, MCAP
Contact information
Practice address
1355 LAKE WORTH RD., LAKE WORTH, FL 33461
(561) 439-8440
Mailing address
1355 LAKE WORTH RD., LAKE WORTH, FL 33461
(561) 439-8440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251S00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
FL
Enumeration date
01/28/2016
Last updated
01/28/2016
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