Individual
CARRIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1820 GLYNWOOD DR, STE B, PRATTVILLE, AL 36066-5533
(334) 358-2455
Mailing address
PO BOX 681007, PRATTVILLE, AL 36068-1007
(334) 358-2455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3552C
AL
Other
Enumeration date
01/15/2015
Last updated
02/06/2018
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