Individual
DALLAS DRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 MIDLAND RD, FREELAND, MI 48623-8708
(989) 692-2160
Mailing address
6840 MIDLAND RD, FREELAND, MI 48623-8708
(989) 692-2160
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006621
MI
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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