MRS. Mikayla Rae Spor, ASW

NPI #1245937713 in Mather, California

Provider Information

NPI Number: 1245937713
Entity Type: Individual
Name: MRS. Mikayla Rae Spor, ASW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: ASW
Enumeration Date: Feb 14, 2023
Last Updated: Feb 14, 2023

Practice Location

Address: 10535 HOSPITAL WAY BLDG 651
City: Mather
State: California
ZIP Code: 95655-4200
Phone: (916) 843-9460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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