Individual
JILL MARIE WELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 6TH ST S, WALKER, MN 56484-1020
(218) 536-1825
Mailing address
PO BOX 631, WALKER, MN 56484-0631
(218) 536-1825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306175
MN
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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