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Individual

ANGELA SPENCER MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
67 CROWN VETCH LANE, BEREA, KY 40403
(606) 256-1281
Mailing address
67 CROWN VETCH LANE, BEREA, KY 40403
(606) 256-1281

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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