Provider Demographics
NPI:1770330565
Name:SPECTOR, MARCI (LMSW)
Entity type:Individual
Prefix:
First Name:MARCI
Middle Name:
Last Name:SPECTOR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34480 COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1413
Mailing Address - Country:US
Mailing Address - Phone:248-752-0861
Mailing Address - Fax:
Practice Address - Street 1:34480 COMMONS DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1413
Practice Address - Country:US
Practice Address - Phone:248-752-0861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801069592104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker