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Individual

DR. LAUREN CARR SPOONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
400 S TENNILLE AVE, DONALSONVILLE, GA 39845-1622
(229) 524-0071
(229) 524-0072
Mailing address
PO BOX 632, DONALSONVILLE, GA 39845-0632
(229) 524-2644
(229) 524-0072

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
1782
AL
103TC0700X
Clinical Psychologist
Primary
PSY003776
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148432
AL
Enumeration date
11/19/2009
Last updated
03/17/2016
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