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NPI Code Detail

MEDICARE: YVETTE SPENCER CSW

MEDICARE: YVETTE SPENCER CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1780851493
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE SPENCER CSW
Provider Business Mailing Address
First Line : 3738 CHOUTEAU AVE
Second Line : SUITE 200
City : SAINT LOUIS
State : MO
Zip : 63110-2546
Country : US
Telephone Number : 314-772-8801
Fax Number : 314-772-7988
Provider Business Practice Location Address
First Line : 3738 CHOUTEAU AVE
Second Line : SUITE 200
City : SAINT LOUIS
State : MO
Zip : 63110-2546
Country : US
Telephone Number : 314-772-8801
Fax Number : 314-772-7988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2008
Last Update Date : 05/12/2008

Similar Medicare Providers

1417966300 — GARY M MORSE PH.D.
Practice Location Address:
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63110-2546
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1932263423 — COMMUNITY ALTERNATIVES, INC.
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1790835817 — MR. JOHN ARTHUR WINN LCSW
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1386858041 — URSULA FICHTELBERG LPC & CASAC
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1861669566 — JUDITH ELLISON LCSW
Practice Location Address:
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1639346331 — DANIEL ORLET RN
Practice Location Address:
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Practice Fax: 314-772-7988

Directions to “ YVETTE SPENCER CSW” Practice Location

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