Individual
MRS. JANE ELY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1440 RANDOLPH AVE, #323, SAINT PAUL, MN 55105-2509
(651) 699-2676
Mailing address
1440 RANDOLPH AVE., #323, SAINT PAUL, MN 55105
(651) 699-2676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8302
MN
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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