Individual
RITA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 WAUKONDA AVE, BENTON HARBOR, MI 49022-3142
(269) 876-5202
Mailing address
103 S SAINT JOSEPH AVE, NILES, MI 49120-2848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401016508
MI
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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