| Barbara Weller Licsw Llc | |
|
5170 Mcquade Road Duluth MN 55804-2943 | |
| (218) 525-2059 | |
| (218) 525-1864 |
| Full Name | Barbara Weller Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5170 Mcquade Road, Duluth, Minnesota |
| Authorized Official Name and Position | Barbara J Weller (OWNER) |
| Authorized Official Contact | 2185252059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Weller Licsw Llc 5170 Mcquade Road Duluth MN 55804-2943 Ph: (218) 525-2059 | Barbara Weller Licsw Llc 5170 Mcquade Road Duluth MN 55804-2943 Ph: (218) 525-2059 |
| NPI Number | 1912111204 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912111204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 00300 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 00300 (Minnesota) | Primary |
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