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Individual

MISS JUDY LOUISE WOELLNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
204 LEWIS AVE S, STE #210, WATERTOWN, MN 55388-4500
(952) 955-2242
(952) 955-2010
Mailing address
204 LEWIS AVE S, STE #210, WATERTOWN, MN 55388-4500
(952) 955-2242
(952) 955-2010

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7242
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20F97PR
BCBS MN
MN
01
HP35387
HEALTH PARTNERS
MN
Enumeration date
04/24/2007
Last updated
07/08/2007
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