Individual
JACQUELINE SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 JHN PAUL JNS CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
9017 MORAY DR, SHREVEPORT, LA 71129-5127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10252
LA
Other
Enumeration date
02/27/2018
Last updated
10/03/2025
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