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1003828880
JENNIFER MICHAEL SPENCER
BLOOMINGTON, IN
NPI
1003828880
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Former Name
JENNIFER LYNN MICHAEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: IN 20041405A)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER MICHAEL SPENCER PhD HSPP
631 N COLLEGE AVE
BLOOMINGTON, IN 47404-3871
Phone number: 812-333-8474
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Mailing Address
Dr. JENNIFER MICHAEL SPENCER PhD HSPP
4956 N MUIRFIELD DR
BLOOMINGTON, IN 47404-1384
Phone number: 812-333-8474
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