Individual
CHANELLE FELECIA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 PEARL ST FL 1, BROOKLYN, NY 11201-7508
(929) 277-7124
Mailing address
175 PEARL ST FL 1, BROOKLYN, NY 11201-7508
(929) 277-7124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
098497
NY
1041C0700X
Clinical Social Worker
Primary
090682
NY
Other
Enumeration date
10/07/2016
Last updated
11/22/2023
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