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Individual
MR. CLINT LANDON WELLS
Active
Individual
MR. CLINT LANDON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 5639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884674000
—
FL
Enumeration date
03/07/2010
Last updated
07/19/2016
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