Individual
ALEX WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2274 SW 2ND ST STE D, MCMINNVILLE, OR 97128-5597
(971) 261-2159
Mailing address
2274 SW 2ND ST STE D, MCMINNVILLE, OR 97128-5597
(971) 261-2159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L7826
OR
Other
Enumeration date
06/06/2016
Last updated
11/08/2018
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