Individual
DIANE GWEN BLOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
240-121
WI
101YM0800X
Mental Health Counselor
Primary
240-121
WI
104100000X
Social Worker
240-121
WI
Other
Enumeration date
07/21/2006
Last updated
09/11/2025
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