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Individual

NICOLE WALBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MALLPC

Contact information

Practice address
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-5036
(586) 412-5321
Mailing address
12850 FOUNTAIN SQ, SUITE 106, DAVISBURG, MI 48350-2552
(586) 412-5321

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011068
MI

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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