Individual
MARQUISHA SHANAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6625 EVANS ST, OMAHA, NE 68104-3210
(402) 763-7449
Mailing address
6625 EVANS ST, OMAHA, NE 68104-3210
(402) 763-7449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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