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1003382938
EDWINA WALLACE
BATTLE CREEK, MI
NPI
1003382938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401011732)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
EDWINA WALLACE
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017-3602
Phone number: 269-966-1460
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Mailing Address
EDWINA WALLACE
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017-3602
Phone number: 269-966-1460
Copy
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