Individual
HOLLY J WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 BOLIVIA ST, WILLIMANTIC, CT 06226-2843
(860) 529-5506
Mailing address
40 BOLIVIA ST, WILLIMANTIC, CT 06226-2843
(860) 529-5506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000759
CT
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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