Provider Information for 1407091317
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COLETTE SPAULDING LMSW
Other Names:Former Name:COLETTE CASSADY LLMSWSex: Female
NPI: 1407091317
Last Updated: 2012-02-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1407091317 | ||||||||
| Enumeration Date | 2008-12-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2820 COLLEGE AVE ESCANABA, MI 49829-9591 United States Phone: 906-233-1236 | Fax:906-233-1235 | ||||||||
| Primary Practice Address | 2820 COLLEGE AVE ESCANABA, MI 49829-9591 United States Phone: 906-233-1236 | Fax:906-233-1235 | ||||||||
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