Individual
STEPHANIE JILL WELLNITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(605) 695-1713
Mailing address
1903 11TH ST S, MOORHEAD, MN 56560-3628
(605) 695-1713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/12/2024
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