| Ses Spencer, Llc | |
|
365 Chaffin Ridge Ct Roswell GA 30075-2351 | |
| (678) 462-5696 | |
| (678) 373-3428 |
| Full Name | Ses Spencer, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 365 Chaffin Ridge Ct, Roswell, Georgia |
| Authorized Official Name and Position | Susan S Spencer (OWNER) |
| Authorized Official Contact | 6784625696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ses Spencer, Llc 365 Chaffin Ridge Ct Roswell GA 30075-2351 Ph: (678) 462-5696 | Ses Spencer, Llc 365 Chaffin Ridge Ct Roswell GA 30075-2351 Ph: (678) 462-5696 |
| NPI Number | 1851791487 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 09/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851791487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003872 (Georgia) | Primary |
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