JESSE DAVID LALLA

DEARBORN, MI
NPI1083069223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801095840)
Enumeration Date2016-04-25
Last Update Date2021-02-26
Business Address
JESSE DAVID LALLA LMSW
5500 AUTO CLUB DR
DEARBORN, MI 48126-2779
Phone number: 313-317-2000
Mailing Address
JESSE DAVID LALLA LMSW
5111 AUTO CLUB DR
DEARBORN, MI 48126-2749
Phone number: 313-317-2000
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