Most Relevant Information
Provider Data
| NPI Number: | 1003514399 |
| Provider Name: | MICHELLE LYNETTE WELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/16/2023 |
| Last Updated: | 02/16/2023 |
Provider Practice Location
2214 W SERGEANT ST
PHILADELPHIA
PA
191324130
Practice Location Phone/Fax
| Phone: | 2158345075 |
| Fax: |
Provider Mailing Location
2214 W SERGEANT ST
PHILADELPHIA
PA
191324130
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |