Individual
DANIELLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
5505 FOG HOLLOW LN, APT 201, MEMPHIS, TN 38125-0862
(901) 857-0750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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