Icelinn Perdue Wallace

  • NPI 1376778100
According to our database, the NPI number for Icelinn Perdue Wallace is 1376778100 and activated since 14 years ago. Icelinn Perdue Wallace is an individual provider who specializes in Social Worker, and the primary practice location is 70 Lafayette St, Pontiac, MI 48342. You can also contact Icelinn Perdue Wallace via telephone number is (248) 338-7458. Provider NPI information was last updated on 05/22/2009.

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Overview of Icelinn Perdue Wallace

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/22/2009
  • Last updated: 05/22/2009

Primary Scrop of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number: 680109826
  • License State: MI

Provider Mailing Address

  • Address: 2830 Corunna Rd
    Flint, MI 48503
  • Phone: 810-235-6812
  • Fax: 810-234-7022

Provider Practice Location

  • Address: 70 Lafayette St
    Pontiac, MI 48342
  • Phone: 248-338-7458
  • Fax: 248-338-7513

Scope of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number: 680109826
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Icelinn Perdue Wallace?
  • A: The npi number for Icelinn Perdue Wallace is 1376778100.
  • Q: What are Icelinn Perdue Wallace's specialties?
  • A: Icelinn Perdue Wallace's specialties are Social Worker and different specialities.
  • Q: What is the medical license for Icelinn Perdue Wallace?
  • A: The medical license number for Icelinn Perdue Wallace is 680109826 and issued in MI in USA.
  • Q: Where is Icelinn Perdue Wallace practice location?
  • A: Icelinn Perdue Wallace is practicing at 70 Lafayette St, Pontiac, MI 48342.
  • Q: How to contact Icelinn Perdue Wallace?
  • A: You can contact Icelinn Perdue Wallace via 248-338-7458.