TIFFANY LYNN WALLACE

WESTLAND, MI
NPI1760586176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301012514)
Enumeration Date2006-09-08
Last Update Date2007-07-08
Business Address
-- TIFFANY LYNN WALLACE MS LLP
8623 N WAYNE ROAD HEGIRA PROGRAMS INC STE 310
WESTLAND, MI 48185
Phone number: 734-425-0636
Mailing Address
-- TIFFANY LYNN WALLACE MS LLP
11326 FORDLINE
ALLEN PARK, MI 48101
Phone number: 313-590-6955
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