Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ICELINN PERDUE WALLACE
ActiveICELINN PERDUE WALLACE is a Social Worker healthcare provider located in PONTIAC, Michigan. NPI 1376778100 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PONTIAC, MI
Registration Details
- NPI Number
- 1376778100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2009 (17.206985100395 yrs)
- Last Updated
- May 22, 2009
- License
-
680109826 (MI)
Practice Information
- Address
-
70 LAFAYETTE STPONTIAC, MI, 483422033Browse MI providers · Browse ZIP 48342
- Phone
- 2483387458
- Fax
- 2483387513
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in PONTIAC, MI
| Name | Credential | NPI |
|---|---|---|
| MS. JENNIFER K PAHSSEN | LMSW | 1992890404 |
| ROSANNA PALMER | MSW | 1891836730 |
| ANGELA DELON MEDLOCK | LMSW | 1194854018 |
| MS. MARGARET M. MCIVOR | MSW, LMSW | 1083826069 |
| MEGAN NICOLE O'GUIN | — | 1417136714 |
| MR. RYAN ASHLEY | LMSW, CAADC | 1114165651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.