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Individual

KATHY MARIE SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
205 W 520 N, OREM, UT 84057-4696
(385) 330-0161
Mailing address
205 W 520 N, OREM, UT 84057-4696
(203) 980-9402

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041S0200X
School Social Worker

Other

Enumeration date
08/12/2019
Last updated
01/05/2024
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