Individual provider · Type 1 NPI

Icelinn Perdue Wallace

Social Worker · Pontiac, MI

NPI number 1376778100 Active

Practice location

70 Lafayette St
Pontiac, MI 48342-2033

Fax (248) 338-7513

Mailing address

2830 Corunna Rd
Flint, MI 48503-3254

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X680109826 (MI)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1376778100

Icelinn Perdue Wallace's National Provider Identifier is 1376778100, issued on May 22, 2009. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Pontiac, MI. The record was last updated on May 22, 2009.