Individual
BLANCHE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3577 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 220-3439
Mailing address
3577 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 220-3439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH211
FL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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