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1558810333
KATRINA LAVETTE WALLACE
FARMINGTON HILLS, MI
NPI
1558810333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2016-09-22
Last Update Date
2019-08-09
Business Address
KATRINA LAVETTE WALLACE
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Phone number: 248-299-0030
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Mailing Address
KATRINA LAVETTE WALLACE
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-299-0030
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