Individual
CHAUNEECY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9703 IVEY RIDGE CIR, JONESBORO, GA 30238-4158
(216) 334-9739
Mailing address
9703 IVEY RIDGE CIR, JONESBORO, GA 30238-4158
(216) 334-9739
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127669
—
OH
Enumeration date
12/11/2015
Last updated
05/21/2021
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