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1831960566
DESTINEE MANUELA WELLS
HIRAM, GA
NPI
1831960566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
DESTINEE MANUELA WELLS
1899 LAKE RD STE 123
HIRAM, GA 30141-6006
Phone number: 678-896-8958
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Mailing Address
DESTINEE MANUELA WELLS
9806 AUTUMN DAWN
CONVERSE, TX 78109-4610
Phone number: 210-343-9039
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