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1851074348
TABITHA E WALLACE
DETROIT, MI
NPI
1851074348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
TABITHA E WALLACE
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-685-9774
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Mailing Address
TABITHA E WALLACE
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-685-9774
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