Individual
DAVID E SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 520-7074
(208) 970-6188
Mailing address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 520-7074
(208) 970-6188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
01/12/2023
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