Individual
MS. JANN M WIDUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6233 DURAND AVE, MOUNT PLEASANT, WI 53406-4961
(262) 554-8165
(262) 554-8152
Mailing address
6233 DURAND AVE STE F, MOUNT PLEASANT, WI 53406-4961
(262) 554-8165
(262) 554-8152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2767-125
WI
Other
Enumeration date
02/18/2008
Last updated
02/04/2013
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