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Organization
FAMILY EMPOWERMENT SERVICES LLC
Active
Organization
FAMILY EMPOWERMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W WELLS III PSYD, MA, LLP (OWNER/MANAGER)
(269) 759-8750
Entity
Organization
Contact information
Practice address
2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
(269) 759-8750
Mailing address
2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
(269) 759-8750
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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