Individual
ELIZABETH MARIE WELLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 682-7100
Mailing address
324 CENTER ST APT 324 1/2, MANKATO, MN 56001-3938
(785) 821-1380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
03/17/2021
Last updated
04/22/2022
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