Individual
DIANE M BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
3163 STATE HWY 55, CRANDON, WI 54520-0275
(715) 478-5180
(715) 478-5904
Mailing address
3163 STATE HWY 55, CRANDON, WI 54520-0275
(715) 478-5180
(715) 478-5904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3691125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43591300
—
WI
Enumeration date
02/23/2007
Last updated
07/08/2007
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