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1720762628
ANIYA WALLACE
CLINTON TOWNSHIP, MI
NPI
1720762628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-12
Last Update Date
2023-07-14
Business Address
ANIYA WALLACE
42850 GARFIELD RD STE 101
CLINTON TOWNSHIP, MI 48038-5026
Phone number: 844-854-1116
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Mailing Address
ANIYA WALLACE
1500 S DOUGLAS RD # 230
CORAL GABLES, FL 33134-4108
Phone number: 313-997-7103
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