Provider Information for 1366809733
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MARIA G WELLS MA, LPC
Sex: Female
NPI: 1366809733
Last Updated: 2022-09-27
Certification Date: 2022-09-27
Certification Date: 2022-09-27
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366809733 | ||||||||||||||||
| Enumeration Date | 2016-01-15 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 4505 MCKENNA RD TORRINGTON, WY 82240-8454 United States Phone: 307-331-8928 | Fax: | ||||||||||||||||
| Primary Practice Address | 4505 MCKENNA RD TORRINGTON, WY 82240-8454 United States Phone: 307-331-8928 | Fax: | ||||||||||||||||
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