Individual
MRS. BIANCA ALEXIS SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
155 BELL RICHARD AVE, FORT POLK, LA 71459-3505
(575) 386-9358
Mailing address
155 BELL RICHARD AVE, FORT POLK, LA 71459-3505
(575) 386-9358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2022
Last updated
08/15/2022
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