Individual
J ANTOINETTE MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1519 PRIMROSE LN, JANESVILLE, WI 53545-0418
(608) 752-7255
(608) 752-6942
Mailing address
1519 PRIMROSE LN, JANESVILLE, WI 53545-0418
(608) 752-7255
(608) 752-6942
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39669400
—
WI
Enumeration date
07/09/2006
Last updated
07/09/2007
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