Individual
MS. DIANE KAY ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 E NORTH ST, FRIENDSHIP, WI 53934-9443
(608) 339-4511
(608) 339-4593
Mailing address
W8362 ROYAL OAKS DR, WAUTOMA, WI 54982-5313
(920) 787-0142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3450-125
WI
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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