Individual
MRS. KATHLEEN LANG SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
1115 BETHEL RD, COLUMBUS, OH 43220-2690
(614) 538-0353
Mailing address
6589 COONPATH ROAD, CARROLL, OH 43112
(740) 756-4124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0800409
OH
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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