Individual
MRS. BEVERLY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7811 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3526
(267) 304-5437
Mailing address
7811 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3526
(267) 304-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW019581
PA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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