Individual
JANETTE R WILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06298
IA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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