Individual
TINA D WELDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
58308 ANDREW DR, GOSHEN, IN 46528-8663
(574) 534-8462
(574) 534-8462
Mailing address
58308 ANDREW DR, GOSHEN, IN 46528-8663
(574) 534-8462
(574) 534-8462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
04/22/2010
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