Individual
STACEY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA
Contact information
Practice address
3306 N ST, VANCOUVER, WA 98663-2436
(360) 270-0870
Mailing address
3306 N ST, VANCOUVER, WA 98663-2436
(360) 270-0870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
09/30/2016
Last updated
05/15/2026
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