Individual
ELIZABETH WAKAI MBI WELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 KAFERN DR APT 2A, BALTIMORE, MD 21207-4280
(301) 532-6613
Mailing address
725 STRETFORD WAY APT 101, HYATTSVILLE, MD 20785-5948
(301) 532-6613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
MD
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
MD-10272598024
MD
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/17/2022
Last updated
07/20/2023
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