NICHOLE WALLACE

GRAND RAPIDS, MI
NPI1407546229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6851116253)
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
NICHOLE WALLACE
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504-5323
Phone number: 616-916-3711
Mailing Address
NICHOLE WALLACE
101 FULLER AVE SE
GRAND RAPIDS, MI 49506-1635
Phone number:
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