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Individual

MRS. ASHLY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
32613 SANDRA LN, WESTLAND, MI 48185-1592

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36301
MI

Other

Enumeration date
06/17/2019
Last updated
06/17/2019
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