Individual
MRS. DARIA SIMONE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1931 WELBY WAY, SUITE 4, TALLAHASSEE, FL 32308-4462
(850) 999-2140
(850) 270-6572
Mailing address
1931 WELBY WAY, SUITE 4, TALLAHASSEE, FL 32308
(850) 999-2140
(850) 270-6572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 11115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010440900
—
FL
Enumeration date
08/13/2012
Last updated
11/12/2015
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