Individual
DIANE WIZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W COLLEGE AVE, SUITE 815, APPLETON, WI 54911-5770
(920) 733-1992
(920) 733-1866
Mailing address
103 W COLLEGE AVE, SUITE 815, APPLETON, WI 54911-5770
(920) 733-1992
(920) 733-1866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4060-125
WI
Other
Enumeration date
01/09/2007
Last updated
07/07/2010
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