Individual
THERESA A SPRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
Mailing address
7128 QUINTARA DR NE, COMSTOCK PARK, MI 49321-8370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008446
MI
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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