Individual
MRS. OLETHA G WELLON-DAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 BOB THOMAS CIR, SANFORD, FL 32771-3096
(407) 820-4133
Mailing address
139 BOB THOMAS CIR, SANFORD, FL 32771-3096
(407) 820-4133
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
00125
FL
172A00000X
Driver
Primary
D520
FL
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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