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1871284992
TIERRA PEARL WALLACE
FARMINGTON HILLS, MI
NPI
1871284992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851116784)
Enumeration Date
2023-05-18
Last Update Date
2023-12-13
Business Address
TIERRA PEARL WALLACE LLMSW
36216 FREEDOM RD
FARMINGTON HILLS, MI 48335-3002
Phone number: 248-270-8287
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Mailing Address
TIERRA PEARL WALLACE LLMSW
43071 STRAND DR
STERLING HEIGHTS, MI 48313-2741
Phone number: 586-209-4589
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