ELOISE F WALLACE

CLINTON TOWNSHIP, MI
NPI1457848392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-04-17
Last Update Date2026-02-19
Business Address
ELOISE F WALLACE
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3502
Phone number: 248-475-6300
Mailing Address
ELOISE F WALLACE
12339 OHIO ST
DETROIT, MI 48204-1041
Phone number: 248-499-4931