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1255465639
DOUGLAS ROY WELLS
LEWISTON, ID
NPI
1255465639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID CSW511)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS ROY WELLS LCSW
307 19TH ST STE A3
LEWISTON, ID 83501-2086
Phone number: 208-746-2948
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Mailing Address
Mr. DOUGLAS ROY WELLS LCSW
730 WARNER AVE # B
LEWISTON, ID 83501-4916
Phone number: 208-746-2948
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