ICELINN PERDUE WALLACE

PONTIAC, MI
NPI1376778100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  680109826)
Enumeration Date2009-05-22
Last Update Date2009-05-22
Business Address
-- ICELINN PERDUE WALLACE
70 LAFAYETTE ST
PONTIAC, MI 48342-2033
Phone number: 248-338-7458
Mailing Address
-- ICELINN PERDUE WALLACE
2830 CORUNNA RD
FLINT, MI 48503-3254
Phone number: 810-235-6812
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