Individual
TIARRA WELLS-YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 SPANISH WELLS RD, JACKSONVILLE, FL 32218-8926
(904) 502-8502
(904) 770-5596
Mailing address
3223 ACADEMY PARK PL, JACKSONVILLE, FL 32218-6550
(904) 203-3367
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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