Individual
DIA AUSTINE MAJETT RONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6502 GRAND TETON PLZ STE 102, MADISON, WI 53719
(913) 293-9775
Mailing address
6627 WOLF HOLLOW RD, WINDSOR, WI 53598-9813
(913) 293-9775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0013919
CO
101YM0800X
Mental Health Counselor
Primary
7424-125
WI
Other
Enumeration date
07/31/2017
Last updated
05/01/2024
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