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1235644469
DENISE ELIZABETH WALLACE
DETROIT, MI
NPI
1235644469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301009769)
Enumeration Date
2017-12-11
Last Update Date
2017-12-11
Business Address
DENISE ELIZABETH WALLACE MA, LLP
7310 WOODWARD AVE STE 401
DETROIT, MI 48202-3165
Phone number: 313-550-8810
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Mailing Address
DENISE ELIZABETH WALLACE MA, LLP
7310 WOODWARD AVE STE 401
DETROIT, MI 48202-3165
Phone number: 313-550-8810
Copy
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