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Individual

DEBORAH WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Mailing address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S-0700041
OH
1041C0700X
Clinical Social Worker
S.0700041
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0074861
OHIO DEPT. DRUG & ALCOHOL (ODADAS)
OH
01
0074946
OHIO DEPT. MENTAL HEALTH (ODMH)
OH
01
01-0693
CARF CERTIFICATE
OH
01
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
04/03/2014
Last updated
02/21/2017
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