Icelinn Perdue Wallace
NPI #1376778100 in Pontiac, Michigan
Provider Information
- NPI Number
- 1376778100
- Entity Type
- Individual
- Name
- Icelinn Perdue Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- May 22, 2009
- Last Updated
- May 22, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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