Individual
MISS CHELSEA LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 BENNETT AVE, HURLBURT FIELD, FL 32544-5705
(850) 884-6107
Mailing address
125 BENNETT AVE, HURLBURT FIELD, FL 32544-5705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0093990
VT
1041C0700X
Clinical Social Worker
9917
SC
Other
Enumeration date
08/06/2012
Last updated
01/17/2017
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