ICELINN WALLACE

Social Worker

NPI: 1376778100Individual

Specialties, Licenses & Credentials

Social WorkerPrimary

Social Worker

Code: 104100000X

680109826(MI)

Contact & Hours

Address: 70 LAFAYETTE ST
PONTIAC, MI 48342
Phone: (248) 338-7458

Quick Facts

NPI: 1376778100
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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