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Individual

WILLIAM EDWARD SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LAPC

Contact information

Practice address
3552 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4009
(770) 710-4003
Mailing address
206 N CROSSING WAY, DECATUR, GA 30033-4125
(770) 710-4003

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC007600
GA

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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