Tana Lyn Mashue Spicer

NPI #1104502392 in Clare, Michigan

Provider Information

NPI Number: 1104502392
Entity Type: Individual
Name: Tana Lyn Mashue Spicer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 23, 2023
Last Updated: Oct 5, 2023

Practice Location

Address: 1395 N MCEWAN ST
City: Clare
State: Michigan
ZIP Code: 48617-1111
Phone: (989) 423-5346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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