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1851764534
KENDRICK WALLACE
FLINT, MI
NPI
1851764534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
Mr. KENDRICK WALLACE
1044 GILBERT ST
FLINT, MI 48532-3527
Phone number: 810-422-9406
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Mailing Address
Mr. KENDRICK WALLACE
1044 GILBERT ST
FLINT, MI 48532-3527
Phone number: 810-422-9406
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