Individual
STEPHANIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
46200 PORT ST, PLYMOUTH, MI 48170-6048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004637
MI
Other
Enumeration date
03/04/2016
Last updated
06/12/2023
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