Individual
MARY ANN WELLS-GNANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3261 US HWY 441, SUITE B3, FRUITLAND PARK, FL 34731-4497
(352) 323-0612
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 944-7813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/14/2014
Last updated
02/13/2025
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