Individual
NAOMI SPONABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3773 WILSON RD, EAST JORDAN, MI 49727-9262
(616) 558-8418
Mailing address
3773 WILSON RD, EAST JORDAN, MI 49727-9262
(616) 558-8418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013159
MI
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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