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Individual
MS. SUSAN WELCH
Active
Individual
MS. SUSAN WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1035
TN
133V00000X
Registered Dietitian
Primary
875997
IL
Other
Enumeration date
08/18/2017
Last updated
06/29/2019
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