Individual
ANNIE JO WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1308
(612) 345-7306
Mailing address
3208 ROOSEVELT ST NE, ST ANTHONY, MN 55418-2362
(612) 306-1365
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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