Individual
ALICIA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1933 BRIGHTLEAF WAY, MARIETTA, GA 30060-9246
(404) 314-6155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MSW004042
GA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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