David Spencer MSW

NPI 1669705414 - Counselor - 101Y00000X

NPI Details
NPI 1669705414
Gender Male
Enumeration Date 09/11/2009
Last Updated 06/17/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
3365 E EDWARDS DR
IDAHO FALLS ID, 83401-1333, US
Phone (208) 406-4822
Fax
Business Location
3365 E EDWARDS DR
IDAHO FALLS ID, 83401-1333, US
Phone (208) 406-4822
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, David Spencer MSW NPI is 1669705414, taxonomy code is 101Y00000X David Spencer MSW physically located at 3365 E Edwards Dr, Idaho Falls ID, 83401-1333. NPI Number David Spencer MSW has the Individual type.

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1669705414 NPI number is provided on an as is basis without warranty of any kind. 1669705414 is maintained by the National Plan & Provider Enumeration System. The contents of David Spencer MSW are for informational purposes only.