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Individual

ANDREA P JANIS-TOWEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
(414) 672-4265
Mailing address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
(414) 672-4265

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1996-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39685200
WI
Enumeration date
11/13/2006
Last updated
02/21/2011
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