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Individual

MS. JANET HELEN MCCLINTOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, LPC, MS

Contact information

Practice address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 704-4560
Mailing address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 704-4560

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1916-125
WI
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
72287-30
WI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
72287-30
WI

Other

Enumeration date
05/04/2010
Last updated
05/04/2010
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