WAYNE SPICER

CARLINVILLE, IL
NPI1013376656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018235)
Enumeration Date2016-02-10
Last Update Date2016-11-03
Business Address
-- WAYNE SPICER LCSW
1030 W MAIN ST
CARLINVILLE, IL 62626-9200
Phone number: 217-930-2106
Mailing Address
-- WAYNE SPICER LCSW
9 CRESTWOOD DR
CARLINVILLE, IL 62626-1847
Phone number: 217-801-1242