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1164209904
HAILEY WALLACE
LIVONIA, MI
NPI
1164209904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
HAILEY WALLACE
31129 PLYMOUTH RD
LIVONIA, MI 48150-2103
Phone number: 734-466-5150
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Mailing Address
HAILEY WALLACE
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150-2134
Phone number: 734-466-5150
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