Individual
MR. MICHAEL A WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
410 S SHERMAN ST, FITZGERALD, GA 31750-3352
(229) 426-0002
Mailing address
994 WOOD WILLIAMS ROAD, ENIGMA, GA 31749
(229) 386-2254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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