Organization
SPENCE SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELENE ROSE COLESTOCK MA LADC LPCC (FOUNDER)
(651) 402-4055
Entity
Organization
Contact information
Practice address
445 ETNA ST STE 55, SAINT PAUL, MN 55106-5848
(651) 756-8561
Mailing address
4365 OAKMEDE LN, SAINT PAUL, MN 55110-7606
(651) 402-4055
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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