Individual
RENEE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 W 38TH ST, ERIE, PA 16508-2462
(814) 835-1700
Mailing address
2718 W 14TH ST, ERIE, PA 16505-4208
(814) 566-1284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135180
PA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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