Individual
MR. SPENCER L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
30 LOU COURTNEY DR, RANDOLPH, MA 02368-4802
(781) 961-6256
Mailing address
749 PLYMOUTH ST, MIDDLEBORO, MA 02346-3005
(508) 923-4789
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
114253-SW-LICSW
MA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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