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Individual

DIANNA M SUSITTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7330 W LAYTON AVE, MILWAUKEE, WI 53220-3849
(414) 877-4570
(262) 228-6257
Mailing address
2717 N GRANDVIEW BLVD, # 202, WAUKESHA, WI 53188
(262) 513-0700
(262) 513-0707

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
349123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21300600
WI
Enumeration date
09/25/2006
Last updated
04/24/2023
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