Hyacinth Icilda Spence, LMSW

NPI #1275767188 in Copiague, New York

Provider Information

NPI Number: 1275767188
Entity Type: Individual
Name: Hyacinth Icilda Spence, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 6, 2009
Last Updated: May 6, 2009

Practice Location

Address: 445 OAK ST
City: Copiague
State: New York
ZIP Code: 11726-3111
Phone: (631) 691-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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