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Individual

MRS. JACQUELYN H WELLS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
923 W WOODLAWN AVE, NORTH AUGUSTA, SC 29841-3214
(803) 279-6665
Mailing address
AUGUSTA VA MEDICAL CENTER, WRIGHTSBORO ROAD, AUGUSTA, GA 30904-6285
(706) 733-0188

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000434
GA

Other

Enumeration date
05/25/2006
Last updated
07/08/2007
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