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1427732213
TINALOUISE JEAN WALES
WAYNE, MI
NPI
1427732213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
TINALOUISE JEAN WALES
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-460-5258
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Mailing Address
TINALOUISE JEAN WALES
794 SANDALWOOD DR
TROY, MI 48085-1644
Phone number: 734-460-5258
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