Individual
MISS STEPHANIE ELLEN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 S PULASKI ST, LITTLE ROCK, AR 72201-1925
(501) 372-2970
(888) 468-9318
Mailing address
2000 MAGNOLIA AVE APT 343, LITTLE ROCK, AR 72202-1610
(501) 372-2970
(188) 846-8931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
984C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
984C
LCSW
AR
Enumeration date
04/26/2007
Last updated
07/08/2007
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