PRISCILLA WALLACE

DETROIT, MI
NPI1962843417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6802086262)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
-- PRISCILLA WALLACE
2051 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-961-3200
Mailing Address
-- PRISCILLA WALLACE
2051 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-961-3200
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