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1750884631
ANGELA M WALLACE
PORT HURON, MI
NPI
1750884631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401016486)
Enumeration Date
2018-03-16
Last Update Date
2022-09-02
Business Address
Mrs. ANGELA M WALLACE LLPC
500 10TH ST
PORT HURON, MI 48060-4477
Phone number: 800-395-3223
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Mailing Address
Mrs. ANGELA M WALLACE LLPC
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 800-395-3223
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