Individual
KIMBERLY SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8090 ATLANTIC BLVD, E54, JACKSONVILLE, FL 32211-8429
(334) 669-3459
Mailing address
8090 ATLANTIC BLVD, E54, JACKSONVILLE, FL 32211-8429
(334) 669-3459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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