Individual
ANBREA SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 S VIENNA ST, RUSTON, LA 71270-6428
(318) 224-9200
Mailing address
1405 AVON AVE, RUSTON, LA 71270-4707
(318) 224-0614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
07/30/2019
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