Individual
TERRANCE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 BROAD ST, SUMTER, SC 29150-4237
(803) 316-9056
Mailing address
130 BROAD ST, SUMTER, SC 29150-4237
(803) 316-9056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5110
SC
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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