SHYNESE TACQUEL SPENCER

GARY, IN
NPI1700314937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
SHYNESE TACQUEL SPENCER
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
SHYNESE TACQUEL SPENCER
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: