JACK W SPENCER

OAKLAND, MD
NPI1912384983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC0803)
Enumeration Date2015-04-29
Last Update Date2015-04-29
Business Address
-- JACK W SPENCER MS, CAC, AD
1025 MEMORIAL DR
OAKLAND, MD 21550-4343
Phone number: 301-334-7670
Mailing Address
-- JACK W SPENCER MS, CAC, AD
1025 MEMORIAL DR
OAKLAND, MD 21550-4343
Phone number: 301-334-7670
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