Individual
MS. JAQUITTA DENISE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 EVANGELINE RD APT 2, CLEVELAND, OH 44110-3192
(216) 413-1538
Mailing address
1013 EVANGELINE RD APT 2, CLEVELAND, OH 44110-3192
(216) 413-1538
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
OH
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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