Spencer, Susan Shackelford
Spencer, Susan Shackelford is an sole proprietor health care provider with primary practice located at 365 Chaffin Ridge Ct , Roswell GA 30075-2351. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spencer, Susan Shackelford can be contacted via phone (678) 373-3428.Contact Information
Primary practice address
365 Chaffin Ridge Ct
Roswell GA 30075-2351
Phone: (678) 373-3428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R038364-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003872 | Georgia |
Profile Details
| NPI number | 1518937861 |
|---|---|
| LBN Legal business name | Spencer, Susan Shackelford |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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