Individual
DR. LISA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3907 SHILOH TRAIL WEST NW, KENNESAW, GA 30144-2051
(770) 330-4522
Mailing address
3907 SHILOH TRAIL WEST NW, KENNESAW, GA 30144-2051
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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