Individual
DIANA ALTSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CMT
Contact information
Practice address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
Mailing address
6231 W LLOYD ST, WAUWATOSA, WI 53213-2005
(414) 688-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7558-123
WI
Other
Enumeration date
04/19/2020
Last updated
06/21/2024
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