Individual
DIANE MARY BUCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
(414) 454-6527
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
(414) 454-6527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7206-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43720000
—
WI
Enumeration date
06/04/2007
Last updated
10/09/2023
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