Individual
KENNETH SPENCER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 N GRAND ST, ENID, OK 73701-3221
(580) 234-3791
(580) 237-7711
Mailing address
PO BOX 152, ENID, OK 73702-0152
(580) 234-3791
(580) 237-7711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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