Individual
JENNIFER WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LISW, LICDC
Contact information
Practice address
563 E DOROTHY LN, DAYTON, OH 45419-1805
(937) 838-8107
Mailing address
732 BECKMAN ST, DAYTON, OH 45410-2165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2002394-SUPV
OH
Other
Enumeration date
02/09/2018
Last updated
06/19/2023
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