THERESE WALLIS

NILES, MI
NPI1982953519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801060565)
Enumeration Date2012-08-29
Last Update Date2013-02-14
Business Address
MS. THERESE WALLIS LMSW
115 S SAINT JOSEPH AVE
NILES, MI 49120-2848
Phone number: 269-684-4270
Mailing Address
MS. THERESE WALLIS LMSW
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
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