Individual
ALEXIS SUZANNE WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1620 E BROAD ST STE 102, COLUMBUS, OH 43203-2012
(614) 684-8243
(614) 516-0710
Mailing address
1047 BRYDEN RD APT 4, COLUMBUS, OH 43205-1897
(917) 609-9582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1302568
OH
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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