Misty Dawn Spencer

NPI #1538644646 in Jacksonville, Illinois

Provider Information

NPI Number: 1538644646
Entity Type: Individual
Name: Misty Dawn Spencer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 25, 2018
Last Updated: Sep 25, 2018

Practice Location

Address: 340 W STATE ST
City: Jacksonville
State: Illinois
ZIP Code: 62650-2061
Phone: (217) 245-6126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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