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Individual
QUENTON D SPATES JR.
Active
Individual
QUENTON D SPATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093154
MI
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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