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Broderick Wallington
NPI 1487130241 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1360 Porter St
Dearborn Heights, MI 48124 - Phone
- (313) 689-5188
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Male
- Record last updated
- 2018-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan