Individual
MRS. DEBORA RENIA WELLS-MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
(270) 798-8239
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
(270) 798-8239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252105
KY
Other
Enumeration date
05/01/2014
Last updated
10/08/2024
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