Jacqueline 'Jackie' Welborn's National Provider Identifier (NPI) Details
Jacqueline 'Jackie' Welborn, MA, PLPC, CSACII
NPI: 1740309129
Enumeration Date: 2007-03-28
Last updated: 2008-02-08
Sole Proprietor: YES
Status: active
Postal Address: 901 N PINE ST, SUITE 101, ROLLA, MO
Phone: 573-426-2588
Primary Practice Address: 107 HISTORIC 66 E, WAYNESVILLE, MO
Practice's phone: 573-528-1292