MICHAEL EUGENE WALLACE

ANN ARBOR, MI
NPI1003116658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301008847)
Enumeration Date2010-10-29
Last Update Date2010-10-29
Business Address
Mr. MICHAEL EUGENE WALLACE MA
201 E LIBERTY ST SUITE 2
ANN ARBOR, MI 48104-2118
Phone number: 734-330-3580
Mailing Address
Mr. MICHAEL EUGENE WALLACE MA
201 E. LIBERTY ST. SUITE 2
ANN ARBOR, MI 48104
Phone number: 734-330-3580