Eugene Wells, LISW

NPI #1679808158 in Corrales, New Mexico

Provider Information

NPI Number
1679808158
Entity Type
Individual
Name
Eugene Wells, LISW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LISW
Enumeration Date
Oct 16, 2009
Last Updated
Oct 16, 2009

Practice Location

Address
3824 CORRALES RD
ZIP Code
87048-9306
Phone
(505) 804-5457

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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