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1235804295
CODY WELLER
BAKERSFIELD, CA
NPI
1235804295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA LEP4136)
Enumeration Date
2021-08-11
Last Update Date
2022-10-24
Business Address
CODY WELLER LEP
2601 EL PORTAL DR
BAKERSFIELD, CA 93309-5333
Phone number: 661-363-3111
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Mailing Address
CODY WELLER LEP
PO BOX 22732
BAKERSFIELD, CA 93390-2732
Phone number: 661-237-3607
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