Individual
JESSICA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(901) 603-6843
Mailing address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(901) 603-6843
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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