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Individual

MARIAN ROBERTA WELLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3570
(304) 234-3511
Mailing address
115 CENTER AVE, WHEELING, WV 26003-5172
(304) 243-1598
(304) 234-3511

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
963
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810010579
WV
Enumeration date
11/21/2007
Last updated
12/14/2007
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