Individual
CHANTA WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 MIDDLESBROUGH CT APT 1, MAUMEE, OH 43537-2264
(469) 858-1870
Mailing address
1915 MIDDLESBROUGH CT APT 1, MAUMEE, OH 43537-2264
(469) 858-1870
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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