Individual
MS. REGINA S WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19624 GOVERNORS HWY, FLOSSMOOR, IL 60422-2077
(872) 225-6010
Mailing address
25113 S CHENNAULT AVE, MONEE, IL 60449-9019
(708) 259-6032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109837
IL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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