Individual
SUSAN M. WELNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4985
MN
Other
Enumeration date
12/02/2008
Last updated
08/12/2016
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