Individual
MRS. DIANE ELIZABETH WISENBAKER-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5600 W LOVERS LN, #317, DALLAS, TX 75209-4330
(214) 883-1129
(214) 358-0092
Mailing address
10655 COX LN, DALLAS, TX 75229-5212
(214) 358-3578
(214) 358-0092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36661
TX
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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