Individual
JULIE MARIE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
410 WILLAMETTE AVE APT 2, MEDFORD, OR 97504-7451
(541) 690-8037
Mailing address
410 WILLAMETTE AVE APT 2, MEDFORD, OR 97504-7451
(541) 690-8037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016349
OR
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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