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Organization

SES SPENCER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN S SPENCER L.C.S.W. (OWNER)
(678) 462-5696
Entity
Organization

Contact information

Practice address
365 CHAFFIN RIDGE CT, ROSWELL, GA 30075-2351
(678) 462-5696
(678) 373-3428
Mailing address
365 CHAFFIN RIDGE CT, ROSWELL, GA 30075-2351
(678) 462-5696
(678) 373-3428

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003872
GA

Other

Enumeration date
09/02/2014
Last updated
09/02/2014
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