JENNIFER WALLACE

WEST BLOOMFIELD, MI
NPI1295083897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301014813)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- JENNIFER WALLACE
4226 GREEN LAKE RD
WEST BLOOMFIELD, MI 48323-1139
Phone number: 248-404-5616
Mailing Address
-- JENNIFER WALLACE
4226 GREEN LAKE RD
WEST BLOOMFIELD, MI 48323-1139
Phone number: 248-404-5616
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