TABITHA WALLACE

Social Worker

Active Individual
NPI: 1851074348

Practice Address

2925 RUSSELL ST
Detroit, MI 48207

Phone: (313) 685-9774

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1851074348 is the National Provider Identifier for TABITHA WALLACE, a Social Worker provider located in Detroit, MI. This NPI was enumerated on August 10, 2023.
TABITHA WALLACE practices at 2925 RUSSELL ST, Detroit, MI 48207.

Quick Facts

NPI
1851074348
Type
Individual
Enumerated
Aug 10, 2023
Last Updated
Jan 18, 2026

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