Provider Demographics
NPI:1194961458
Name:SPEARS, SHIRLEY JEAN (SOCIAL WORKER)
Entity type:Individual
Prefix:MISS
First Name:SHIRLEY
Middle Name:JEAN
Last Name:SPEARS
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 N MCKAY AVE
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-3121
Mailing Address - Country:US
Mailing Address - Phone:910-658-4871
Mailing Address - Fax:910-897-6642
Practice Address - Street 1:410 W EDGERTON ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4108
Practice Address - Country:US
Practice Address - Phone:910-897-2944
Practice Address - Fax:910-897-6642
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker