Provider Information for 1790328805
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JOSELYN SPENCE LPC
Sex: Female
NPI: 1790328805
Last Updated: 2019-10-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1790328805 | ||||||||
| Enumeration Date | 2019-10-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5960 HAMPTON CT ATLANTA, GA 30349-3895 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 5960 HAMPTON CT ATLANTA, GA 30349-3895 United States Phone: 404-913-5023 | Fax: | ||||||||
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