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1700314937
SHYNESE TACQUEL SPENCER
GARY, IN
NPI
1700314937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
SHYNESE TACQUEL SPENCER
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
SHYNESE TACQUEL SPENCER
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number:
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