Most Relevant Information
Provider Data
| NPI Number: | 1003469644 |
| Provider Name: | LATASHA JUDY SPENCER LLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 6401017425 |
Most Important Dates
| Enumeration Date: | 07/23/2019 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
11105 E JEFFERSON AVE
DETROIT
MI
482143317
Practice Location Phone/Fax
| Phone: | 2484171784 |
| Fax: |
Provider Mailing Location
11105 E JEFFERSON AVE
DETROIT
MI
482143317
Provider Mailing Phone/Fax
| Phone: | 2484171784 |
| Fax: |