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Individual

EDWARD LEE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LEP, LMFT

Contact information

Practice address
27035 WHITMAN ST, HAYWARD, CA 94544-4027
(510) 723-3190
(510) 582-0964
Mailing address
24411 AMADOR ST, HAYWARD, CA 94544-1301
(510) 784-2611
(510) 784-2629

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3212
CA
106H00000X
Marriage & Family Therapist
87423
CA

Other

Enumeration date
08/27/2018
Last updated
08/27/2018
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