| Doctor Name: | WENDELYN SEAL |
| NPI Number: | 1396143277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 13074 |
| Business Practice Address: | 29 Noah Ln Carriere, MS - 394267828 |
| Business Phone Number: | 6019160126 |
| Business Fax Number: | |
| Mailing Address: | 29 Noah Ln, CARRIERE |
| State: | MS |
| Postal Code: | 394267828 |
| Phone Number: | 6019160126 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 13074 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |