Individual
JANET VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6929 MARINER DR STE D, MOUNT PLEASANT, WI 53406-3950
(262) 672-6614
Mailing address
6929 MARINER DR STE D, MOUNT PLEASANT, WI 53406-3950
(262) 672-6614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2618-123
WI
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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