BEGIN:VCARD VERSION:3.0 FN:Julie Spence N:Spence;Julie;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+12482990030 URL:https://www.gale.care/providers/mi/novi/julie-spence-1891218640 NOTE:NPI 1891218640. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1891218640 END:VCARD