Individual
RENA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 LIBERTY DR, TRAVERSE CITY, MI 49685-9737
(231) 357-4515
Mailing address
5208 LIBERTY DR, TRAVERSE CITY, MI 49685-9737
(231) 357-4515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001694
MI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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