Individual
MS. CONNIE MOORE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3820 MERRIMAN CT, VALDOSTA, GA 31605-7703
(229) 563-3225
(229) 247-6887
Mailing address
3820 MERRIMAN CT, VALDOSTA, GA 31605-7703
(229) 563-3225
(229) 247-6887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002897
GA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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