Misty Dawn Spencer
Misty Dawn Spencer is a Clinical Social Worker in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
340 W State StJacksonville, IL 62650-2061
Phone: (217) 245-6126
Fax: (217) 245-4296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149020584 (IL) |
|---|
Record details
| NPI number | 1538644646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 25, 2018 |
| Last updated in NPPES | September 25, 2018 |
| Mailing address | 710 N 8th St, Springfield, IL 62702-6324 |
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340 W State St, Jacksonville, IL 62650-2061 · (217) 245-6126