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1790807261
JANICE LYNNE FULLENWIDER
MADISON, WI
NPI
1790807261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3686-125)
Enumeration Date
2007-04-04
Last Update Date
2016-09-07
Business Address
-- JANICE LYNNE FULLENWIDER LPC
702 W MAIN ST
MADISON, WI 53715-1424
Phone number: 608-280-2600
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Mailing Address
-- JANICE LYNNE FULLENWIDER LPC
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
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