Individual
MRS. E ESTRELLA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC- SPL, LDT/C
Contact information
Practice address
50 BUDD AVE, PEMBERTON, NJ 08068-1104
(609) 351-2316
(609) 726-1928
Mailing address
50 BUDD AVE, PEMBERTON, NJ 08068-1104
(609) 351-2316
(609) 726-1928
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1234
NJ
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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