Individual
TANESHA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLMFT
Contact information
Practice address
917 S MERRIMAN RD, WESTLAND, MI 48186-4951
(734) 641-1141
Mailing address
9200 WHITCOMB ST, DETROIT, MI 48228-2274
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006546
MI
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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