Individual
DIANA LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 W CAPITOL DR STE 112, MILWAUKEE, WI 53216-2056
(414) 763-7671
(414) 488-2969
Mailing address
6815 W CAPITOL DR STE 112, MILWAUKEE, WI 53216-2056
(414) 763-7671
(414) 488-2969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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