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Individual

AMANDA E WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP

Contact information

Practice address
19534 FARNAM ST, ELKHORN, NE 68022-4833
(402) 981-2420
Mailing address
19534 FARNAM ST, ELKHORN, NE 68022-4833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11508
NE

Other

Enumeration date
06/22/2018
Last updated
11/29/2018
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