Individual
GENIE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
Mailing address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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