Individual
DEIRDRE ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, EDD, CCC
Contact information
Practice address
725 W PARK AVE, CHIPPEWA FALLS, WI 54729-3399
(715) 723-0341
Mailing address
W7544 BUCKETS LN, MEDFORD, WI 54451-8892
(651) 783-2368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
673-154
WI
Other
Enumeration date
09/11/2023
Last updated
02/22/2024
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