TIFFANY ASTRA WALLACE

DETROIT, MI
NPI1518264373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  6802086975)
Enumeration Date2011-02-14
Last Update Date2014-05-19
Business Address
Ms. TIFFANY ASTRA WALLACE LLBSW
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
Mailing Address
Ms. TIFFANY ASTRA WALLACE LLBSW
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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