MS. Tiffany Astra Wallace, LLBSW
MS. Tiffany Astra Wallace, LLBSW is a Case Manager/Care Coordinator in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
Practice location Address checks out
79 W Alexandrine StDetroit, MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 6802086975 (MI) |
|---|
Record details
| NPI number | 1518264373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LLBSW |
| Sole proprietor | No |
| NPI enumerated | February 14, 2011 |
| Last updated in NPPES | May 19, 2014 |
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