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Individual

CRYSTAL DENISE SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2727 DEER DR, JOPLIN, MO 64804-6008
(417) 438-5508
Mailing address
2727 DEER DR, JOPLIN, MO 64804-6008
(417) 438-5508

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018006867
MO

Other

Enumeration date
01/27/2020
Last updated
01/27/2020
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