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1720212905
TENA WALLS
DETROIT, MI
NPI
1720212905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-05-04
Last Update Date
2009-05-04
Business Address
-- TENA WALLS
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
-- TENA WALLS
20513 JOANN ST
DETROIT, MI 48205-1140
Phone number: 313-371-0055
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