MS. Janis Marie Southworth, MA PC-TC
NPI #1235562737 in Medford, Wisconsin
Provider Information
- NPI Number
- 1235562737
- Entity Type
- Individual
- Name
- MS. Janis Marie Southworth, MA PC-TC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA PC-TC
- Enumeration Date
- Aug 20, 2013
- Last Updated
- Oct 22, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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