Individual
CASEY MICHELLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
RR 2 BOX 2335, SEDGEWICKVILLE, MO 63781-9706
(573) 330-9595
Mailing address
5272 HILLSBORO RD, FARMINGTON, MO 63640-7231
(573) 760-7000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012007106
MO
Other
Enumeration date
02/20/2008
Last updated
04/24/2012
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