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Individual

JANETTE WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SW

Contact information

Practice address
4341 N 90TH ST, MILWAUKEE, WI 53222-1601
(414) 231-4000
Mailing address
4341 N 90TH ST, MILWAUKEE, WI 53222-1601
(414) 231-4000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5902-120
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JPC1217
WI
Enumeration date
08/29/2012
Last updated
08/30/2012
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