CASEY WALLACE

COMMERCE TOWNSHIP, MI
NPI1619541877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6362009880)
Enumeration Date2021-05-13
Last Update Date2024-01-04
Business Address
CASEY WALLACE
2045 E WEST MAPLE RD STE D405
COMMERCE TOWNSHIP, MI 48390-3801
Phone number: 248-669-9500
Mailing Address
CASEY WALLACE
201 W NEW YORK AVE
PONTIAC, MI 48340-1154
Phone number: 810-893-4363
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