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Individual

MRS. NANCY ELIZABETH WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
2758 E MILLENNIUM PL, FAYETTEVILLE, AR 72703-4798
(479) 957-2121
Mailing address
2758 E MILLENNIUM PL, FAYETTEVILLE, AR 72703-4798
(479) 957-2121
(479) 442-4897

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1310098
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183403795
AR
Enumeration date
09/22/2010
Last updated
11/05/2013
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