Individual
MR. TIMOTHY GEORGE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
735 EAST FILLMORE, PHOENIX, AZ 85006
(602) 257-4872
(602) 257-4852
Mailing address
12625 N. 36TH STREEET, PHOENIX, AZ 85032
(602) 354-5852
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
12053
AZ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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