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1962112839
WALLACE WAALKES
SOUTHFIELD, MI
NPI
1962112839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
WALLACE WAALKES
24681 NORTHWESTERN HWY STE 2006
SOUTHFIELD, MI 48075-2305
Phone number: 248-860-3490
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Mailing Address
WALLACE WAALKES
24681 NORTHWESTERN HWY STE 2006
SOUTHFIELD, MI 48075-2305
Phone number: 248-860-3490
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