Individual
LACY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 E WASHINGTON ST STE B, GREENCASTLE, IN 46135-1563
(765) 246-1639
Mailing address
2021 FAIRWAY DR, GREENCASTLE, IN 46135-9207
(765) 720-1700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010192A
IN
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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