Individual
MS. BRENDA ARLENE WELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
135 COLUMBIA TPKE, SUITE 303, FLORHAM PARK, NJ 07932-2104
(973) 514-1820
Mailing address
26 GOLDFINCH DR, HACKETTSTOWN, NJ 07840-3008
(908) 850-8068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00435500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616302
AETNA PROVIDER ID NUMBER
NJ
Enumeration date
02/04/2007
Last updated
07/08/2007
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