Individual
DARIA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RN
Contact information
Practice address
1955 U.S. 1 SOUTH, SUITE 200, ST. AUGUSTINE, FL 32086
(904) 829-0814
(904) 829-6174
Mailing address
PO BOX 57101, JACKSONVILLE, FL 32241-7101
(904) 861-8882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3469
FL
163W00000X
Registered Nurse
9267873
FL
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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