Individual
DR. LEON EDWARD SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
13 S MULBERRY ST, SUITE B, STATESBORO, GA 30458-7176
(912) 604-4195
Mailing address
747 BROOKWOOD DR, STATESBORO, GA 30461-6778
(912) 604-4195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002151
GA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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