Individual
JESSICA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13160 COUNTY ROAD 3610, SAINT JAMES, MO 65559-9151
(573) 899-7149
(573) 265-8320
Mailing address
2301 VIENNA RD APT A, ROLLA, MO 65401-5105
(801) 900-4498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
10/07/2016
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