Individual
HEATHER JAVA DUNCAN -SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2904 NW 60TH TER APT 137, SUNRISE, FL 33313-1232
(954) 305-4212
Mailing address
2904 NW 60TH TER APT 137, SUNRISE, FL 33313-1232
(954) 305-4212
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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