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Therese Wallis, LMSW

NPI 1982953519 · on the registry since 2012

Practice

Address: 115 S Saint Joseph Ave
Niles, MI 49120
Phone: (269) 684-4270
Fax: (269) 684-4070
Organisation at this address: Berrien Mental Health Authority
Inchstones Behavioral Therapy Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-02-14

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