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Individual

DIANE C MONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9543
Mailing address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9543

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6988
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40926600
WI
01
874645100
MHCP
MN
Enumeration date
06/08/2006
Last updated
04/16/2013
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