Individual
JESSICA SPOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1201 E 9TH ST, BLDG 24, BONHAM DOMICILIARY, BONHAM, TX 75418-4059
(903) 583-6715
Mailing address
1201 E 9TH ST, BLDG 24, BONHAM DOMICILIARY, BONHAM, TX 75418-4059
(903) 583-6715
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
614
WY
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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