MICHELLE RENEE WALLACE

BARLING, AR
NPI1144421884
Former NameMICHELLE RENEE RESTINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- MICHELLE RENEE WALLACE MHPP
10301 MAYO DR
BARLING, AR 72923-1660
Phone number: 479-494-5700
Mailing Address
-- MICHELLE RENEE WALLACE MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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