Individual
MS. CAROL WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
205 LUND ST., TAOS, NM 87571-6294
(575) 770-2415
(575) 758-3471
Mailing address
PO BOX 654, TAOS, NM 87571-0654
(575) 770-2415
(575) 758-3471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3477
NM
Other
Enumeration date
01/19/2007
Last updated
08/08/2013
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