Individual
DR. LORRIE G. SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
28 WESTBURY PARK WAY, BLUFFTON, SC 29910-8825
(843) 757-0231
Mailing address
28 WESTBURY PARK WAY, BLUFFTON, SC 29910-8825
(843) 757-0231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EEXE6543
—
SC
Enumeration date
07/19/2007
Last updated
07/19/2007
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