Individual
MRS. NICOLE CHRISTINE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S 4TH ST, HARTSVILLE, SC 29550-5787
(843) 332-4141
(843) 383-4625
Mailing address
900 S 4TH ST, HARTSVILLE, SC 29550-5787
(843) 639-8039
(843) 383-4625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
12/15/2011
Last updated
11/09/2022
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