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Individual

GUY W SHILTS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
17 S. RIVER ST., SUITE 254, JANESVILLE, WI 53548-3863
(608) 755-5260
(608) 755-5267
Mailing address
17 S. RIVER ST., SUITE 254, JANESVILLE, WI 53548-3863
(608) 755-5260
(608) 755-5267

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1871-226
WI
101Y00000X
Counselor
Primary
5826
WI

Other

Enumeration date
09/17/2013
Last updated
07/26/2016
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