Individual
MRS. ANNIE MAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 W ADAMS AVE, LAS VEGAS, NV 89106-2839
(702) 684-3573
Mailing address
1229 W ADAMS AVE, LAS VEGAS, NV 89106-2839
(702) 684-3573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/18/2012
Last updated
11/15/2018
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