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Individual
MR. CHARLES WELKE
Active
Individual
MR. CHARLES WELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
384
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13679
—
ND
01
—
26420
ND BC/BS
ND
01
—
298P6WE
MN BC/BS
MN
Enumeration date
04/25/2006
Last updated
09/07/2018
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