NPI 1013153253

Larry Anthony Spence

Practitioner Marriage & Family Therapist Milwaukee, WI

Practice location

Address: 5626 N 91st St STE 301, Milwaukee, WI 53225-2745
Phone: (414) 461-1088
Fax: (414) 461-1049

Registered specialties (3)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 4152-120 (WI)

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 4152-120 (WI)

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Registry record

NPI: 1013153253
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2008
Record last updated: 17 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.