Individual
MS. JENNIFER L WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.PSYCH
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
5343 HADFIELD ST, PHILADELPHIA, PA 19143-4115
(215) 620-8406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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