KENDRICK WALLACE

FLINT, MI
NPI1851764534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-04
Last Update Date2015-11-04
Business Address
Mr. KENDRICK WALLACE
1044 GILBERT ST
FLINT, MI 48532-3527
Phone number: 810-422-9406
Mailing Address
Mr. KENDRICK WALLACE
1044 GILBERT ST
FLINT, MI 48532-3527
Phone number: 810-422-9406
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