Individual
GEORGIA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2003 CENTRAL AVE, CHEYENNE, WY 82001-3745
(307) 638-4092
Mailing address
2003 CENTRAL AVE, CHEYENNE, WY 82001-3745
(307) 638-4092
(307) 635-3967
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1296
WY
Other
Enumeration date
09/05/2013
Last updated
08/12/2014
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