Individual
FELISHA FAYE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
122 S MAIN ST, VICKSBURG, MI 49097-1278
(269) 612-6031
Mailing address
6942 LAFOUNTAINE DR, PLAINWELL, MI 49080-8232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017557
MI
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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