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NPI 1508305269

NPI 1508305269 : BRITA M SPENCER LCSW : EAU CLAIRE, WI

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General NPI Number Information
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    NPI Number           |    1508305269
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    Entity Type          |    Individual 
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    Provider Name        |    BRITA M SPENCER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/14/2017
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    Last Update Date     |    04/07/2025
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Provider Practice Location Address
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    Address Line         |    2925 MONDOVI RD 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54701-6141
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    Country              |    US
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    Telephone            |    715-210-9284
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    Fax                  |    715-972-8120
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Provider Business Mailing Address
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    Address Line         |    800 WISCONSIN ST 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54703-3588
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    Country              |    US
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    Telephone            |    715-210-9284
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    Fax                  |    715-210-9284
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    9002-123
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    License Number State |    WI
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