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Individual

DANIEL WALLACE ENYIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
31465 HARLO DR APT E, MADISON HEIGHTS, MI 48071-1987
(248) 505-4649
Mailing address
16320 E 9 MILE RD, EASTPOINTE, MI 48021-2440
(586) 218-8570

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/28/2021
Last updated
02/28/2021
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