TENA WALLS

DETROIT, MI
NPI1720212905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2009-05-04
Last Update Date2009-05-04
Business Address
-- TENA WALLS
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
Mailing Address
-- TENA WALLS
20513 JOANN ST
DETROIT, MI 48205-1140
Phone number: 313-371-0055