Individual
CHELCEY RENNEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 TCHULAHOMA RD STE B4, SOUTHAVEN, MS 38671-9268
(662) 349-2733
(662) 536-1849
Mailing address
7160 TCHULAHOMA RD STE B4, SOUTHAVEN, MS 38671-9268
(662) 349-2733
(662) 536-1849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3439
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S3439
STATE LICENSE
MS
Enumeration date
12/02/2010
Last updated
12/02/2010
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