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Individual

INGA YVETTE WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950
(313) 883-6275
Mailing address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950
(313) 883-6275

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/25/2018
Last updated
07/25/2018
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