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Organization

FAMILY EMPOWERMENT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W WELLS III PSYD, MA, LLP (OWNER/MANAGER)
(269) 759-8750
Entity
Organization

Contact information

Practice address
2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
(269) 759-8750
Mailing address
2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
(269) 759-8750

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
12/16/2016
Last updated
12/16/2016
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