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Individual

LATASHA JUDY SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
11105 E JEFFERSON AVE, DETROIT, MI 48214-3317
(248) 417-1784
Mailing address
11105 E JEFFERSON AVE, DETROIT, MI 48214-3317
(248) 417-1784

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017425
MI

Other

Enumeration date
07/23/2019
Last updated
04/15/2024
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