NATHAN ALEXIS SPENCER

PROVO, UT
NPI1053086207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: UT  13043522-6009)
Enumeration Date2021-08-10
Last Update Date2023-04-27
Business Address
MR. NATHAN ALEXIS SPENCER MSPECED
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
MR. NATHAN ALEXIS SPENCER MSPECED
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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