Individual
MS. CHERYL ANN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4026 HAWK ST, SUITE C, SAN DIEGO, CA 92103
(858) 883-1022
(619) 291-1264
Mailing address
3671 EAGLE ST, SAN DIEGO, CA 92103
(619) 291-1264
(619) 291-1264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS22302
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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