Spence, Michaelene

Spence, Michaelene is an sole proprietor health care provider with primary practice located at 15028 Farnham Ave N , Hugo MN 55038-9003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Spence, Michaelene can be contacted via phone (651) 402-4055.

Contact Information

Primary practice address
15028 Farnham Ave N Hugo MN 55038-9003
Phone: (651) 402-4055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301720 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC00619 Minnesota

Profile Details

NPI number 1922556687
LBN Legal business name Spence, Michaelene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2016
Last updated Sep 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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