Individual
MS. CAROLYN G. WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10749 S PEORIA ST, CHICAGO, IL 60643-3860
(773) 621-9859
Mailing address
10749 S PEORIA ST, CHICAGO, IL 60643-3860
(773) 621-9859
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1041S0200X
IL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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