Individual
BARBARA JANE WELLER
Active
Individual
BARBARA JANE WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270757800
MEDICAL ASSISTANCE
MN
Enumeration date
04/24/2008
Last updated
04/24/2008
Update your record
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