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Individual
JESSICA ROSE THERING
Active
Individual
JESSICA ROSE THERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT, MT-BC, WMTR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
117
WI
101YP2500X
Professional Counselor
Primary
17328
WI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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