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Individual

MRS. JANIS M PAONESSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LMFT

Contact information

Practice address
1 1/2 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 734-3424
(262) 723-8308
Mailing address
10 VIRGINIA ST, RACINE, WI 53405-1946
(262) 633-8078
(262) 633-8078

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1003-124
WI

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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