Individual
SUSAN CAROL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-9167
(231) 935-8609
Mailing address
10221 HAGER RD, FIFE LAKE, MI 49633-9079
(231) 360-3048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000903
MI
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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