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JANIS SOUTHWORTH, MA PC-TC
MA PC-TC
Professional Counselor
NPI: 1235562737IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
1773-226(WI)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 136 W BROADWAY AVE
MEDFORD, WI 54451 - Phone
- (715) 748-4535
Quick Facts
- NPI
- 1235562737
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 16
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