Provider Demographics
NPI:1487096988
Name:URBANO-SPENCER, ROSEMARY (MSW)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:
Last Name:URBANO-SPENCER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8136 RIVERDALE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1569
Mailing Address - Country:US
Mailing Address - Phone:313-274-5840
Mailing Address - Fax:313-274-8277
Practice Address - Street 1:19855 OUTER DR STE 104
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2022
Practice Address - Country:US
Practice Address - Phone:313-274-5840
Practice Address - Fax:313-274-8277
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010928041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical