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Search › Michigan › 225X00000X

Marykelly Wallace, MOTR/L

NPI 1598372187 · on the registry since 2020

Practice

Address
1 Parklane Blvd Ste 200
Dearborn, MI 48126
Phone
(313) 846-2606
Organisation at this address
Psygenics Inc
Grow Your Mind Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-14

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