Individual
MR. JAIMIE ALBERT WELLS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSA LISW-S
Contact information
Practice address
1224 GIEL AVE, LAKEWOOD, OH 44107-2718
(216) 521-7353
Mailing address
1224 GIEL AVE, LAKEWOOD, OH 44107-2718
(216) 521-7353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0010006
OH
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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