Individual
ELAINE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
10744 GRAYSON CT, JACKSONVILLE, FL 32220-1894
(904) 386-0943
Mailing address
NS MAYPORT, 2104 MASSEY AVE, JACKSONVILLE, FL 32228
(904) 270-4340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
08/11/2023
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