Wayne Spicer JR., LCSW

NPI #1013376656 in Carlinville, Illinois

Provider Information

NPI Number
1013376656
Entity Type
Individual
Name
Wayne Spicer JR., LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 10, 2016
Last Updated
Nov 3, 2016

Practice Location

Address
1030 W MAIN ST
ZIP Code
62626-9200
Phone
(217) 930-2106

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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