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NPI Profile for JODY L JANOSIK in DECATUR, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1891185591 |
|
| Status | Active | |
| Credentials | LCSW, LPHA | |
| Entity | Individual | |
| Enumeration date | 02/02/2015 | |
| Last updated | 11/09/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JODY L JANOSIK
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JODY L JANOSIK, LCSW, LPHA