Individual
DIANE SOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1105 MICHALINE DR, GREEN BAY, WI 54304-2030
(715) 509-0563
Mailing address
1105 MICHALINE DR, GREEN BAY, WI 54304-2030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8290-125
WI
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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