Individual
OLIVIA CYNTHIA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
100 BRANFORD AVE, GROTON, CT 06340-5213
(860) 514-4768
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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