Individual
NICOLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(712) 252-3157
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(712) 252-3157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007252
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007252
STATE LICENSE
IA
Enumeration date
05/06/2014
Last updated
02/20/2018
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