Individual
DR. BONNIE RENEE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
104 LAKESHORE DR, SUITE D, SAINT MARYS, GA 31558-3803
(912) 729-1120
(912) 729-1150
Mailing address
165 KRISTINS DR, SAINT MARYS, GA 31558-1815
(912) 510-9294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC004001
GA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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