Individual
WENDELYN SEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
29 NOAH LN, CARRIERE, MS 39426-7828
(601) 916-0126
Mailing address
29 NOAH LN, CARRIERE, MS 39426-7828
(601) 916-0126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L7181
OR
1041C0700X
Clinical Social Worker
13074
LA
1041C0700X
Clinical Social Worker
Primary
C7749
MS
Other
Enumeration date
12/09/2014
Last updated
10/03/2024
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